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Individual

JESSE ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
200 MAIN ST STE 210, PAWTUCKET, RI 02860-4119
(401) 728-1800
(401) 728-0182
Mailing address
56 OCEAN SPRAY BLVD, HALFMOON, NY 12065-3233
(518) 232-2380

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
04/12/2021
Last updated
01/05/2024
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