Organization
COREY J FLANDERS LMHC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COREY J FLANDERS (OWNER)
(401) 288-8386
Entity
Organization
Contact information
Practice address
194 WATERMAN ST, PROVIDENCE, RI 02906-4015
(401) 288-8386
Mailing address
30 ADAMS AVE, RIVERSIDE, RI 02915-5410
(401) 288-8386
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00655
RI
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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