Individual
SHANA M GIETL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1 HILTON ST, PROVIDENCE, RI 02905-2313
(401) 455-6068
Mailing address
61 BARTLETT AVE, CRANSTON, RI 02905-1334
(401) 215-6757
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6456
MA
Other
Enumeration date
06/16/2010
Last updated
06/16/2010
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