Individual
KRISHA CORBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4126
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4126
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC01063
RI
Other
Enumeration date
05/08/2015
Last updated
09/19/2019
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