Individual
MELISSA MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 PAWTUCKET AVE, PAWTUCKET, RI 02860-6059
(401) 808-6278
Mailing address
12 CHURCH ST, BARRINGTON, RI 02806-2924
(401) 837-2387
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDP00772
RI
101YM0800X
Mental Health Counselor
Primary
MHC01556
RI
Other
Enumeration date
02/04/2022
Last updated
03/06/2024
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