Individual
ELISE N JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 SALT POND RD STE H1, WAKEFIELD, RI 02879-4337
(401) 789-3694
Mailing address
39 MERINO ST, JOHNSTON, RI 02919-4417
(973) 600-2769
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC01020
RI
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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