Individual
AMY J SKURKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 JOHN A CUMMINGS WAY, WOONSOCKET, RI 02895-3247
(401) 235-7000
Mailing address
102 FRANCIS AVE, PAWTUCKET, RI 02860-1506
(401) 723-1942
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDP00041
RI
101YM0800X
Mental Health Counselor
PC206
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000069520
BLUE CROSS
RI
05
—
AS32737
—
RI
01
—
CP00408220
BLUE CHIP
RI
Enumeration date
10/10/2006
Last updated
02/16/2011
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