Individual
JOHN ANTHONY CIPOLLA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(401) 455-6680
Mailing address
12 EAGLE ST UNIT 417, PROVIDENCE, RI 02908-5662
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MCH01783
RI
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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