Individual
JAIME DURAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTERS
Contact information
Practice address
136 LARCH ST, WOONSOCKET, RI 02895-6712
(401) 422-6093
(401) 226-9381
Mailing address
136 LARCH ST, WOONSOCKET, RI 02895-6712
(401) 422-6093
(401) 226-9381
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
MHC00615
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GH57134
—
RI
Enumeration date
07/13/2011
Last updated
08/29/2019
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