Individual
MATTHEW P THADEIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
38 AMARAL ST, RIVERSIDE, RI 02915-2205
(401) 305-1762
Mailing address
74 LEVESQUE ST, WARWICK, RI 02886-0750
(401) 302-0034
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00337-A
RI
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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