Individual
MR. JOSHUA DAVID BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LMFT
Contact information
Practice address
1445 WAMPANOAG TRL, RIVERSIDE, RI 02915-1000
(401) 301-9975
Mailing address
14 EAST AVE, NORTH PROVIDENCE, RI 02911-1720
(401) 301-9975
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT00204
RI
Other
Enumeration date
10/02/2019
Last updated
10/29/2019
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