Individual
PAUL J BOOROM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA CAGS
Contact information
Practice address
18 VILLAGE WAY, NORTH SMITHFIELD, RI 02896-7246
(401) 447-2227
Mailing address
18 VILLAGE WAY, NORTH SMITHFIELD, RI 02896-7246
(401) 762-4422
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00428
RI
101YM0800X
Mental Health Counselor
PC372
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PB61799
—
RI
Enumeration date
11/06/2006
Last updated
08/18/2022
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