Individual
MISS CASEY COMSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
610 WAMPANOAG TRAIL, EAST PROVIDENCE, RI 02915
(401) 431-9870
(401) 438-1957
Mailing address
177 HIGHLAND AVE, FALL RIVER, MA 02720
(508) 558-5795
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
259
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
217116
B CROSS
—
01
—
410357
B CHIP
—
05
—
NC33313
—
RI
Enumeration date
11/02/2006
Last updated
07/08/2007
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