Individual
JESSICA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
23 BROWN ST, NORTH KINGSTOWN, RI 02852-5057
(401) 480-0407
Mailing address
10 TARBOX DR, EXETER, RI 02822-3726
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00700
RI
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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