Individual
KELLEY MARIE FARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2699 POST RD, WARWICK, RI 02886-3075
(401) 924-5013
Mailing address
17 HENRY ST, EAST PROVIDENCE, RI 02914-4509
(401) 383-0437
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00298
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31793-1
BLUE CROSS BLUE SHIELD
RI
01
—
413827
BLUE CHIP
RI
Enumeration date
08/31/2006
Last updated
08/02/2007
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