Individual provider · Type 1 NPI

Michael Cancilliere, LMHC

Mental Health Counselor · Pawtucket, RI

NPI number 1225064751 Active

Practice location

1070 Main St
Pawtucket, RI 02860-4847

Call (401) 727-6413 Map

Mailing address

528 N Main St
Providence, RI 02904-5757

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMHC00253 (RI)

Mental Health Counselor: Definition to come...

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About NPI 1225064751

Michael Cancilliere, LMHC's National Provider Identifier is 1225064751, issued on Jun 25, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pawtucket, RI. The record was last updated on Nov 26, 2007.