Individual
CAROL ANN GENDRON GILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
28 CEDAR SWAMP RD, UNIT 206, SMITHFIELD, RI 02917-2447
(401) 222-9882
(401) 648-4854
Mailing address
28 CEDAR SWAMP RD, UNIT 206, SMITHFIELD, RI 02917-2447
(401) 222-9882
(401) 648-4854
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00675
RI
Other
Enumeration date
11/17/2014
Last updated
09/20/2016
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