Individual
VANESSA WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-2315
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-2128
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
PS01903
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/10/2015
Last updated
10/20/2020
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