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Individual

MICHAEL PATRICK O'MARA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMHC

Contact information

Practice address
125 GOFF AVE UNIT 4208, PAWTUCKET, RI 02860-8406
(401) 369-7093
(888) 977-2519
Mailing address
40 MONTGOMERY ST UNIT 3, PAWTUCKET, RI 02862-7702
(401) 369-7093
(888) 977-2519

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LMHC11884
MA
101YM0800X
Mental Health Counselor
Primary
MHC00626
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MO95707
RI
Enumeration date
12/31/2011
Last updated
12/29/2025
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