Individual
LIA M. VAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1 WARREN WAY, PROVIDENCE, RI 02905-5000
(401) 444-0530
(401) 444-0423
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 444-0400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC01369
RI
Other
Enumeration date
12/20/2012
Last updated
07/25/2022
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