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Ms. Kathleen Carney Larisa, LCMHC,LADCI
Mental Health Counselor in East Providence, Rhode Island
NPI 1922150630

Kathleen Carney Larisa is a Mental Health Counselor based in Rumford, RI and is specialized in Mental Health. Kathleen Carney Larisa practices in East Providence, RI and has the professional credentials of LCMHC,LADCI. The NPI Number for Kathleen Carney Larisa is 1922150630 and holds a License No. MHC00322 (Rhode Island).

The current practice location address for Kathleen Carney Larisa is 610 Wampanoag Trail, East Providence, RI and can be reached out via phone at 401-431-9870.

Location: 610 Wampanoag Trail, East Providence, RI, 02916-2305
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Provider Profile Details
NPI Number
1922150630
Provider Name
Kathleen Carney Larisa
Credential
LCMHC,LADCI
Provider Entity Type
Individual
Gender
Female
Address
610 Wampanoag Trail, East Providence, RI, 02916-2305
Phone Number
401-431-9870
Fax Number
Provider Enumeration Date
01/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
KC65655 05 RI
32336-1 01 RI BLUE CROSS
413987 01 RI BLUE CHIP
institution
Provider Business Practice Location Address Details
Address
610 Wampanoag Trail
City
State
Zip
02916
Phone Number
401-431-9870
Fax Number
person
Provider Business Mailing Address Details
Address
610 Wampanoag Trail
City
State
Zip
02916
Phone Number
401-431-9870
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MHC00322 (Rhode Island)
Definition
Definition to come...
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