Individual
PATRICIA BROUWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDP; LMHC
Contact information
Practice address
1516 ATWOOD AVE, JOHNSTON, RI 02919-3223
(401) 553-1000
(401) 553-1143
Mailing address
1516 ATWOOD AVE, JOHNSTON, RI 02919-3223
(401) 553-1000
(401) 553-1143
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDP00338
RI
101YM0800X
Mental Health Counselor
Primary
MHC00714
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GH57134
—
RI
Enumeration date
09/27/2011
Last updated
08/10/2016
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