| Jaclyn Houston Therapy Llc | |
|
1069 Warwick Ave Warwick RI 02888-3544 | |
| (401) 208-2055 | |
| Not Available |
| Full Name | Jaclyn Houston Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1069 Warwick Ave, Warwick, Rhode Island |
| Authorized Official Name and Position | Jaclyn Lee Houston (OWNER) |
| Authorized Official Contact | 2039470241 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaclyn Houston Therapy Llc 1069 Warwick Ave Warwick RI 02888-3544 Ph: (401) 208-2055 | Jaclyn Houston Therapy Llc 1069 Warwick Ave Warwick RI 02888-3544 Ph: (401) 208-2055 |
| NPI Number | 1568155620 |
|---|---|
| Provider Enumeration Date | 06/02/2023 |
| Last Update Date | 10/18/2023 |
| Certification Date | 09/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568155620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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