Individual
MICHAEL EDWARD BIBEAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
25 SUPERIOR VIEW BLVD, NORTH PROVIDENCE, RI 02911-2927
(401) 354-9846
Mailing address
25 SUPERIOR VIEW BLVD, NORTH PROVIDENCE, RI 02911-2927
(401) 354-9846
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00960
RI
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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