Individual
KRISTEN O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
49 PAVILION AVE, SUITE 105, PROVIDENCE, RI 02905-1534
(401) 490-8930
(401) 490-8930
Mailing address
99 KINGSTOWN RD, WYOMING, RI 02898-1101
(401) 481-6217
(401) 481-6217
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00180
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
KM46155
—
RI
Enumeration date
05/25/2006
Last updated
09/05/2013
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