Individual
LARISSA NASISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1635 MINERAL SPRING AVE, NORTH PROVIDENCE, RI 02904-4025
(401) 349-4269
Mailing address
147 DYERVILLE AVE, JOHNSTON, RI 02919-4412
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC01515
RI
Other
Enumeration date
06/20/2019
Last updated
07/18/2023
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