Individual
FREDERICK L HERCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
70 PANTO RD, WARWICK, RI 02886-0633
(401) 444-4005
(401) 444-5715
Mailing address
70 PANTO RD, WARWICK, RI 02886-0633
(401) 444-4005
(401) 444-5715
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ISW04711
RI
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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