Individual
DANIELA IAVARONE DUARTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
655 MENDON RD STE 1C, CUMBERLAND, RI 02864-6222
(401) 680-9900
Mailing address
655 MENDON RD STE 1C, CUMBERLAND, RI 02864-6222
(401) 680-9900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00500
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30343
BLUE CROSS CRISIS
RI
Enumeration date
10/30/2007
Last updated
11/04/2021
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