| Counseling And Neurofeedback Center, Inc. | |
|
120 Wayland Ave Suite 1 Providence RI 02906-4318 | |
| (401) 709-9497 | |
| (401) 709-3776 |
| Full Name | Counseling And Neurofeedback Center, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 120 Wayland Ave, Providence, Rhode Island |
| Authorized Official Name and Position | Elaine Louise Martin (PRESIDENT) |
| Authorized Official Contact | 4017099497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling And Neurofeedback Center, Inc. 120 Wayland Ave Suite 1 Providence RI 02906-4318 Ph: (401) 709-9497 | Counseling And Neurofeedback Center, Inc. 120 Wayland Ave Suite 1 Providence RI 02906-4318 Ph: (401) 709-9497 |
| NPI Number | 1578711990 |
|---|---|
| Provider Enumeration Date | 08/28/2008 |
| Last Update Date | 08/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578711990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | ISW00638 (Rhode Island) | Primary |
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