Individual
NISSA SLACHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 VIRGINIA AVE, PROVIDENCE, RI 02905-4443
(401) 724-8400
Mailing address
31 BLODGETT AVE, PAWTUCKET, RI 02860-5621
(347) 423-1385
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/12/2021
Last updated
12/12/2021
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