Individual
KEITH BERUBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAGS LMHC
Contact information
Practice address
47A CEDAR SWAMP RD, SMITHFIELD, RI 02917
(401) 768-3600
Mailing address
47A CEDAR SWAMP RD, SMITHFIELD, RI 02917-2431
(401) 768-3600
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MHC00473
RI
101YM0800X
Mental Health Counselor
MHC00473
RI
Other
Enumeration date
11/22/2010
Last updated
03/04/2019
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