Individual
JORA EHRLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
528 N MAIN ST, PROVIDENCE, RI 02904-5757
(401) 528-1023
Mailing address
43 E MANNING ST, PROVIDENCE, RI 02906-4008
(401) 639-1989
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
MHC01066
RI
Other
Enumeration date
04/02/2019
Last updated
06/26/2019
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