person
Jason G Roderick, MSW,LICSW
Mental Health Counselor in Providence, Rhode Island
NPI 1700019254

Jason G Roderick is a Mental Health Counselor based in Warwick, RI and is specialized in Mental Health. Jason G Roderick practices in Providence, RI and has the professional credentials of MSW,LICSW. The NPI Number for Jason G Roderick is 1700019254 and holds a License No. (Rhode Island).

The current practice location address for Jason G Roderick is 35 S Angell St, Providence, RI and can be reached out via phone at 401-439-4159.

Location: 35 S Angell St, Providence, RI, 02888-1652
person
Provider Profile Details
NPI Number
1700019254
Provider Name
Jason G Roderick
Credential
MSW,LICSW
Provider Entity Type
Individual
Gender
Male
Address
35 S Angell St, Providence, RI, 02888-1652
Phone Number
401-439-4159
Fax Number
Provider Enumeration Date
09/01/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2601849 01 RI DMV
institution
Provider Business Practice Location Address Details
Address
35 S Angell St
City
State
Zip
02906-5206
Phone Number
401-439-4159
Fax Number
person
Provider Business Mailing Address Details
Address
35 S Angell St
City
State
Zip
02906-5206
Phone Number
401-439-4159
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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