Individual
ANDREW M KRICHAK II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
77 KING ST, JOHNSTON, RI 02919-4019
(401) 273-5309
(401) 273-5309
Mailing address
77 KING ST, JOHNSTON, RI 02919-4019
(401) 273-5309
(401) 273-5309
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
122
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00407031
BLUE CHIP
RI
01
—
22153
BLUE SHIELD
RI
Enumeration date
04/24/2007
Last updated
07/08/2007
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