Individual
LIBERTY KENYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
190 CROSSING DR APT 303, CUMBERLAND, RI 02864-4375
(401) 935-7265
Mailing address
246 MIDDLE ST, PAWTUCKET, RI 02860-1031
(401) 338-3404
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00390
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GH57134
—
RI
Enumeration date
12/26/2008
Last updated
03/26/2025
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