Individual
MISS AISHA YAQOOB SHAHZAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHC-A
Contact information
Practice address
105 BACON ST, PAWTUCKET, RI 02860-5542
(401) 230-4615
Mailing address
39 UNION AVE, JOHNSTON, RI 02919-3305
(401) 231-1937
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00210-A
RI
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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