Individual
THOMAS EVERETT HEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1268 EDDY ST, PROVIDENCE, RI 02905-4535
(401) 379-1234
Mailing address
1268 EDDY ST, PROVIDENCE, RI 02905-4535
(401) 379-1234
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00295-A
RI
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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