Individual
MS. SANDRA VICTORINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 432-7894
Mailing address
157 CYPRESS ST, PROVIDENCE, RI 02906-2507
(254) 315-8770
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00536
RI
Other
Enumeration date
10/16/2008
Last updated
05/10/2012
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