Individual
MS. JOAN TERESA MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1165 N MAIN ST, PROVIDENCE, RI 02904-5740
(401) 331-1244
(401) 331-5772
Mailing address
30 MONTICELLO RD UNIT 2571, PAWTUCKET, RI 02861-7722
(401) 331-1244
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/19/2019
Last updated
01/16/2024
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