Individual
JESSICA KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
725 RESERVOIR AVE, CRANSTON, RI 02910-4448
(559) 999-5247
Mailing address
725 RESERVOIR AVE, CRANSTON, RI 02910-4448
(559) 999-5247
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/05/2018
Last updated
04/27/2026
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