Individual
LORI GENDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI 02904-5113
(401) 456-3000
Mailing address
200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI 02904-5113
(401) 456-3000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00617
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MHC00617
LMHC
RI
Enumeration date
12/12/2013
Last updated
05/11/2018
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