Individual
EARL ROBERT GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1 PINE ACRES BLVD, COVENTRY, RI 02816-8246
(401) 249-0192
Mailing address
1 PINE ACRES BLVD, COVENTRY, RI 02816-8246
(401) 206-1380
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC01051
RI
Other
Enumeration date
03/21/2007
Last updated
10/14/2024
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