Individual
IVELISSE SABATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
255 MAIN ST STE 206, PAWTUCKET, RI 02860-4026
(401) 327-2442
Mailing address
PO BOX 41208, PROVIDENCE, RI 02940-1208
(401) 327-2442
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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