Individual
CARY TWICHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
652 ANGELL ST, PROVIDENCE, RI 02906-5552
(508) 226-4015
Mailing address
652 ANGELL ST, PROVIDENCE, RI 02906-5552
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7647
MA
101YM0800X
Mental Health Counselor
MHC00512
RI
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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