Individual
MISS JOHNNA KATELYN LOURENCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
819 GREENWICH AVE, WARWICK, RI 02886-1815
(401) 268-4007
(888) 972-3966
Mailing address
54 SHEFFIELD AVE, N PROVIDENCE, RI 02911-3331
(401) 473-9765
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00304-A
RI
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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