Individual provider · Type 1 NPI

Gretchen Blycker

Mental Health Counselor · Providence, RI

NPI number 1578701900 Active

Practice location

765 Allens Ave, Suite 102
Providence, RI 02905-5443

Mailing address

1 Capstan St
Jamestown, RI 02835-2241

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1578701900

Gretchen Blycker's National Provider Identifier is 1578701900, issued on Jan 22, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Providence, RI. The record was last updated on Jan 22, 2009.