Individual
JENNIFER BAERLOCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
4705 OLD POST RD UNIT A, CHARLESTOWN, RI 02813-1842
(401) 364-7705
(401) 364-7705
Mailing address
PO BOX 899, CHARLESTOWN, RI 02813-0899
(401) 364-7705
(401) 364-9104
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235325259
BCBSRI
RI
05
—
JB84340
—
RI
Enumeration date
09/24/2007
Last updated
08/23/2013
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