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Jorge Cevallos, MASTERS
Mental Health Counselor in Pawtucket, Rhode Island
NPI 1639327661

Jorge Cevallos is a Mental Health Counselor based in Pawtucket, RI and is specialized in Mental Health. Jorge Cevallos practices in Pawtucket, RI and has the professional credentials of MASTERS. The NPI Number for Jorge Cevallos is 1639327661 and holds a License No. (Rhode Island).

The current practice location address for Jorge Cevallos is 160 Beechwood Ave, Pawtucket, RI and can be reached out via phone at 401-722-5573 and via fax at 401-724-9735.

Location: 160 Beechwood Ave, Pawtucket, RI, 02860-5402
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Provider Profile Details
NPI Number
1639327661
Provider Name
Jorge Cevallos
Credential
MASTERS
Provider Entity Type
Individual
Gender
Male
Address
160 Beechwood Ave, Pawtucket, RI, 02860-5402
Phone Number
401-722-5573
Fax Number
401-724-9735
Provider Enumeration Date
09/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GH57134 05 RI
institution
Provider Business Practice Location Address Details
Address
160 Beechwood Ave
City
State
Zip
02860-5402
Phone Number
401-722-5573
Fax Number
401-724-9735
person
Provider Business Mailing Address Details
Address
160 Beechwood Ave
City
State
Zip
02860-5402
Phone Number
401-722-5573
Fax Number
401-724-9735
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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