Individual
CLAIR FERNANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 WARREN AVE, EAST PROVIDENCE, RI 02914-5137
(401) 365-7023
Mailing address
102 WARREN AVE, EAST PROVIDENCE, RI 02914-5137
(401) 365-7023
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ISW03281
RI
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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