Individual
MR. JEFFREY LEONARD BIBEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAST
Contact information
Practice address
429 FRUIT HILL AVE, NORTH PROVIDENCE, RI 02911-2640
(401) 353-3900
(401) 354-7986
Mailing address
429 FRUIT HILL AVE, NORTH PROVIDENCE, RI 02911-2640
(401) 353-3900
(401) 354-7986
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/23/2017
Last updated
07/21/2022
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