Individual
MR. SCOTT ROBERT TELLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.,LCMHC
Contact information
Practice address
191 W MAIN ST, NORTH KINGSTOWN, RI 02852-5115
(401) 294-6050
(401) 294-6090
Mailing address
191 W MAIN ST, NORTH KINGSTOWN, RI 02852-5115
(401) 294-6050
(401) 294-6090
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00098
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1029690
BEACON HEALTH STRATEGIES
RI
01
—
22608-8
BLUE CROSS
RI
01
—
406647
BLUE CHIP
RI
01
—
62-62525
UNITED HEALTHCARE OF N.E.
RI
Enumeration date
12/15/2006
Last updated
07/08/2007
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