Individual
LAURA JANE BRICKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, LCDP
Contact information
Practice address
154 WATERMAN ST STE 10, PROVIDENCE, RI 02906-3116
(401) 209-2415
(401) 489-7865
Mailing address
154 WATERMAN ST STE 10, PROVIDENCE, RI 02906-3116
(401) 209-2415
(401) 489-7865
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDP00675
RI
101YM0800X
Mental Health Counselor
Primary
MHC00945
RI
Other
Enumeration date
02/01/2017
Last updated
10/23/2023
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