person
Mr. David Jon Medeiros, LICSW
Mental Health Counselor in Providence, Rhode Island
NPI 1336204072

David Jon Medeiros is a Mental Health Counselor based in Providence, RI and is specialized in Mental Health. David Jon Medeiros practices in Providence, RI and has the professional credentials of LICSW. The NPI Number for David Jon Medeiros is 1336204072 and holds a License No. ISW01114 (Rhode Island).

The current practice location address for David Jon Medeiros is 173 Waterman St, Providence, RI and can be reached out via phone at 401-743-1214.

Location: 173 Waterman St, Providence, RI, 02906-3919
person
Provider Profile Details
NPI Number
1336204072
Provider Name
David Jon Medeiros
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
173 Waterman St, Providence, RI, 02906-3919
Phone Number
401-743-1214
Fax Number
Provider Enumeration Date
12/22/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
409312 01 RI BLUECHIP
20494-7 01 RI BLUECROSS
institution
Provider Business Practice Location Address Details
Address
173 Waterman St
City
State
Zip
02906-3919
Phone Number
401-743-1214
Fax Number
person
Provider Business Mailing Address Details
Address
173 Waterman St
City
State
Zip
02906-3919
Phone Number
401-743-1214
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
ISW01114 (Rhode Island)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.

Similar Doctors in Providence, Rhode Island: