Individual
MRS. JUDITH ANNE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDP
Contact information
Practice address
610 WAMPANOAG TRAIL, EAST PROVIDENCE, RI 02915
(401) 431-9870
(401) 435-7486
Mailing address
163 SLATER PARK AVE, PAWTUCKET, RI 02861-3213
(401) 440-0472
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDP00173
RI
101YM0800X
Mental Health Counselor
Primary
MHC00362
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
JL58361
—
RI
Enumeration date
08/09/2006
Last updated
05/20/2008
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