Individual
MIRANDA DICENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
1130 TEN ROD RD STE B101, NORTH KINGSTOWN, RI 02852-4165
(401) 256-4632
Mailing address
1130 TEN ROD RD STE B101, NORTH KINGSTOWN, RI 02852-4165
(401) 256-4632
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00231-A
RI
Other
Enumeration date
09/30/2024
Last updated
12/19/2024
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