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Lara Wibeto, BS
Mental Health Counselor in Charlestown, Rhode Island
NPI 1497292635

Lara Wibeto is a Mental Health Counselor based in Charlestown, RI and is specialized in Mental Health. Lara Wibeto practices in Charlestown, RI and has the professional credentials of BS. The NPI Number for Lara Wibeto is 1497292635 and holds a License No. (Rhode Island).

The current practice location address for Lara Wibeto is 4705 Old Post Rd, Charlestown, RI and can be reached out via phone at 401-932-5959. You can also correspond with Lara Wibeto through the mailing address at 4705 OLD POST RD, CHARLESTOWN, RI - 02813-1841 (mailing address contact number: 401-932-5959).

Location: 4705 Old Post Rd, Charlestown, RI, 02813-1841
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Provider Profile Details
NPI Number
1497292635
Provider Name
Lara Wibeto
Credential
BS
Provider Entity Type
Individual
Gender
Female
Address
4705 Old Post Rd, Charlestown, RI, 02813-1841
Phone Number
401-932-5959
Fax Number
Provider Enumeration Date
01/26/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05-0309043 05 RI
institution
Provider Business Practice Location Address Details
Address
4705 Old Post Rd
City
State
Zip
02813-1841
Phone Number
401-932-5959
Fax Number
person
Provider Business Mailing Address Details
Address
4705 Old Post Rd
City
State
Zip
02813-1841
Phone Number
401-932-5959
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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