Individual
CRYSTAL TEJADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345 BLACKSTONE BLVD STE 2, PROVIDENCE, RI 02906-4829
(401) 415-8868
Mailing address
3 PLEASANT ST APT 7, PROVIDENCE, RI 02906-1751
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00038-A
RI
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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