Individual
MARY MUSIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, LCDP
Contact information
Practice address
22 MIDWAY DR, NORTH KINGSTOWN, RI 02852-2514
(860) 884-9368
Mailing address
22 MIDWAY DR, NORTH KINGSTOWN, RI 02852-2514
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDP00671
RI
101YM0800X
Mental Health Counselor
Primary
MHC00929
RI
Other
Enumeration date
07/20/2019
Last updated
07/20/2019
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