Individual
VANESSA CORBERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 COLONIAL RD, PROVIDENCE, RI 02906-2549
(401) 542-2100
Mailing address
PO BOX 2416, PROVIDENCE, RI 02906-0416
(401) 542-2100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
ISW03035
RI
Other
Enumeration date
08/20/2015
Last updated
12/23/2021
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