Individual
KIPP R LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
68 CUMBERLAND ST, SUITE 102, WOONSOCKET, RI 02895-3300
(401) 356-1940
Mailing address
68 CUMBERLAND STREET SUITE 102, WOONSOCKET, RI 02895
(401) 356-1940
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
167
RI
101YM0800X
Mental Health Counselor
Primary
MHC00446
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
167
COUNSELOR
RI
05
—
KL69638
—
RI
Enumeration date
02/15/2008
Last updated
04/25/2013
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