Individual
MRS. EMILY JEANNE KELLEHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHC, GCEA
Contact information
Practice address
26 VALLEY RD, MIDDLETOWN, RI 02842-6371
(401) 848-6363
(401) 848-6389
Mailing address
90 WOLCOTT AVE, MIDDLETOWN, RI 02842-5921
(401) 848-6363
(401) 848-6389
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00311
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EA64005
—
RI
Enumeration date
03/14/2007
Last updated
09/05/2012
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