Individual
JACOB CLEMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
90 LOWER COLLEGE RD STE 238, KINGSTON, RI 02881-1970
(401) 874-9085
Mailing address
PO BOX 1845, KINGSTON, RI 02881-0498
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00179-A
RI
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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