Individual
MS. PAULA J MARCELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN,LMHC
Contact information
Practice address
225 CHAPMAN ST, SUITE 303, PROVIDENCE, RI 02905-4533
(401) 461-5234
Mailing address
225 CHAPMAN ST, SUITE 303, PROVIDENCE, RI 02905-4533
(401) 461-5234
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00288
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C7D471
BCBSRI
RI
01
—
WDYPBM
BLUECHIP
RI
Enumeration date
12/06/2006
Last updated
07/08/2007
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