Individual
MARISA HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
593 EDDY ST # 38, PROVIDENCE, RI 02903-4923
(401) 999-9999
Mailing address
7 ELIZA ST, PROVIDENCE, RI 02909-5803
(401) 829-5159
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00198-A
RI
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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