Individual
GERARD CORNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
1471 ELMWOOD AVE, CRANSTON, RI 02910-3849
(401) 784-3636
(401) 784-3636
Mailing address
162 COLLINS RD, ASHAWAY, RI 02804-2509
(401) 742-4286
(401) 789-1957
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00425
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GC70295
—
RI
05
—
GH57134
—
RI
Enumeration date
04/09/2008
Last updated
05/24/2021
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