Individual
MR. JASON DOMENIC DOLLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
178 BROADWAY, PROVIDENCE, RI 02903-3014
(401) 525-6111
Mailing address
178 BROADWAY, PROVIDENCE, RI 02903-3014
(401) 525-6111
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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