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Individual

CARRIE SUSANNE RAIMONDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, NCC, LPC, LMHC

Contact information

Practice address
19 GROVE AVE, WESTERLY, RI 02891-1824
(401) 932-2045
Mailing address
4555 DEANNA CT, MERRITT ISLAND, FL 32953-1560
(207) 831-9355

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH23386
FL
101YM0800X
Mental Health Counselor
MHC01579
RI
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor
5114
CT

Other

Enumeration date
06/10/2020
Last updated
03/13/2024
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