Individual
COURTNEY IMONDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1200 HARTFORD AVE UNIT 124, JOHNSTON, RI 02919-7144
(401) 330-7348
(401) 226-0899
Mailing address
50 BRIARWOOD RD, CRANSTON, RI 02920-1447
(401) 330-7348
(401) 226-0899
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
12638
MA
101Y00000X
Counselor
Primary
MHC01062
RI
101YM0800X
Mental Health Counselor
12638
MA
Other
Enumeration date
02/13/2017
Last updated
12/08/2022
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