Individual
KIMBERLY MASTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1500 PONTIAC AVE, CRANSTON, RI 02920-4486
(401) 371-0223
Mailing address
1500 PONTIAC AVE, CRANSTON, RI 02920-4486
(401) 371-0223
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
8066
MA
101YM0800X
Mental Health Counselor
Primary
MHC00548
RI
Other
Enumeration date
12/15/2008
Last updated
09/29/2017
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