Individual provider · Type 1 NPI
Katherine Jane Licciardello
Mental Health Counselor · Warwick, RI
NPI number
1104656677
Active
Practice location
659 Sandy Ln # 3
Warwick, RI 02889-8241
Mailing address
113 Prospect Hill St Apt 3
Newport, RI 02840-6108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1104656677
Katherine Jane Licciardello's National Provider Identifier is 1104656677, issued on Aug 7, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Warwick, RI. The record was last updated on Aug 7, 2024.