Individual
MRS. ANNE BOUTIN-GAMMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
225 NEWMAN AVE, RUMFORD, RI 02916-1218
(508) 561-0477
(800) 595-0717
Mailing address
225 NEWMAN AVE, RUMFORD, RI 02916-1218
(508) 561-0477
(800) 595-0717
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00232
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AB73824
—
RI
Enumeration date
05/02/2008
Last updated
08/25/2010
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