Individual
KATELYN SALUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
4 MARIA ST, LINCOLN, RI 02865-1416
(508) 808-2309
Mailing address
4 MARIA ST, LINCOLN, RI 02865-1416
(508) 808-2309
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10115
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2091814
LICENSE
RI
Enumeration date
02/25/2022
Last updated
02/25/2022
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