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Individual

MS. HELENE PENZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CAGS ACS

Contact information

Practice address
150 HIGH SERVICE AVENUE, NORTH PROVIDENCE, RI 02911-3020
(401) 354-4318
(401) 354-0018
Mailing address
150 HIGH SERVICE AVENUE, NORTH PROVIDENCE, RI 02911-3020
(401) 354-4318
(401) 354-0018

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00012
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6254338
UHC
01
71372
BC
RI
Enumeration date
07/14/2006
Last updated
07/08/2007
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