Individual
MRS. LAURA E LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHC
Contact information
Practice address
1052 PARK AVE, CRANSTON, RI 02910-3225
(401) 275-5039
(401) 946-9340
Mailing address
252 4TH ST, PROVIDENCE, RI 02906-3754
(401) 383-0395
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CPC00214
RI
101YM0800X
Mental Health Counselor
Primary
MHC00136
RI
Other
Enumeration date
04/09/2007
Last updated
09/23/2024
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