Organization
JACLYN HOUSTON THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN LEE HOUSTON LICSW (OWNER)
(203) 947-0241
Entity
Organization
Contact information
Practice address
1069 WARWICK AVE, WARWICK, RI 02888-3544
(401) 208-2055
Mailing address
1069 WARWICK AVE, WARWICK, RI 02888-3544
(401) 208-2055
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/02/2023
Last updated
10/18/2023
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