Individual
MONIQUE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1540 PONTIAC AVE, CRANSTON, RI 02920-4472
(401) 781-7000
(401) 781-1062
Mailing address
1540 PONTIAC AVE, CRANSTON, RI 02920-4472
(401) 781-7000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
02/03/2015
Last updated
10/21/2025
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