Individual
WUNESH WOLDESELASSIE BAIRU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
60 BAY SPRING AVE UNIT B1, BARRINGTON, RI 02806-1386
(401) 246-0214
Mailing address
104 ROFFEE ST, BARRINGTON, RI 02806-3030
(401) 289-0113
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00533
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MHC00533
STATE LICENSE NUMBER
RI
Enumeration date
07/25/2006
Last updated
07/23/2013
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