Individual
JENNIFER EBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 PARK AVE, CRANSTON, RI 02910-3227
(401) 396-7649
Mailing address
275 DULUDE AVE, WOONSOCKET, RI 02895-3431
(774) 240-0903
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
08/20/2025
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