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Individual

ELLEN LYDIA SANTANIELLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
11 MAYFLOWER ST, PROVIDENCE, RI 02906-3521
(401) 316-3226
(401) 331-5772
Mailing address
11 MAYFLOWER ST, PROVIDENCE, RI 02906-3521
(401) 316-3226
(401) 331-5772

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00552
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ES92870
RI
Enumeration date
06/25/2010
Last updated
08/06/2013
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