Individual
MRS. RANA M DEQUATTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
50 MULBERRY CIR, JOHNSTON, RI 02919-2503
(401) 465-5144
(401) 349-0494
Mailing address
50 MULBERRY CIR, JOHNSTON, RI 02919-2503
(401) 465-5144
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00163
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1038440
BEACON HEALTH STRATEGIES
RI
01
—
30267-4
BLUECROSS
RI
01
—
408908
BLUECHIP
RI
01
—
62-27038
UNITED HEALTH
RI
Enumeration date
10/02/2006
Last updated
10/18/2021
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