Individual
ANNA C. BRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
134 THURBERS AVE, PROVIDENCE, RI 02905-4754
(401) 331-1350
(401) 277-3366
Mailing address
124 BOUTWELL ST, PAWTUCKET, RI 02860-5006
(401) 331-1350
(401) 277-3366
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00158
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1021740
GROUP NHP NUMBER
—
01
—
26908-5
BLUE CROSS BLUE SHIELD
—
05
—
AB29079
—
RI
Enumeration date
12/27/2006
Last updated
07/08/2007
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