Individual
JENIIMARIE FEBRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
593 EDDY ST, POTTER 3, PROVIDENCE, RI 02903-4923
(401) 444-3534
(401) 444-3298
Mailing address
117 ELLENFIELD ST, STE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS01576
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS01576
STATE LICENSE
RI
Enumeration date
08/03/2012
Last updated
11/15/2018
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