Individual
VENITA MACIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 TEN ROD RD STE 126, NORTH KINGSTOWN, RI 02852-4238
(401) 594-4720
Mailing address
40 RAYMOND DR, NARRAGANSETT, RI 02882-2813
(401) 258-7942
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC01730
RI
101YM0800X
Mental Health Counselor
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Other
Enumeration date
11/02/2022
Last updated
10/15/2024
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