Individual
MS. JAMIE LYNN BANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA,LCDP
Contact information
Practice address
50 HEALTH LN, WARWICK, RI 02886-2711
(401) 732-5656
(401) 738-8634
Mailing address
50 HEALTH LN, WARWICK, RI 02886-2711
(401) 732-5656
(401) 738-8634
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00480
RI
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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