Individual
KEILI SOLIVEL DE LA ROCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 WASHINGTON ST, WEST WARWICK, RI 02893-5176
(401) 822-1360
(401) 823-4694
Mailing address
22 ETHAN ST, PROVIDENCE, RI 02909-4712
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00385-A
RI
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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