Organization
GREAT COMMISSION ASSOCIATES LLC
Active
Other names
Courageous Hearts Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOISE GARZON LICSW (AUTHORIZED OFFICIAL)
(401) 376-2363
Entity
Organization
Contact information
Practice address
331 BROADWAY UNIT 202, PROVIDENCE, RI 02909-1101
(401) 376-2363
Mailing address
331 BROADWAY UNIT 202, PROVIDENCE, RI 02909-1101
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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