Individual provider · Type 1 NPI
Jaxon Zagorski Tamulaites
Counselor · Riverside, RI
NPI number
1992613566
Active
Practice location
600 Wampanoag Trl Ste 1D
Riverside, RI 02915-1511
Mailing address
469 Centerville Rd Ste 105
Warwick, RI 02886-4356
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Other counselor providers in Riverside
About NPI 1992613566
Jaxon Zagorski Tamulaites's National Provider Identifier is 1992613566, issued on Sep 1, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Riverside, RI. The record was last updated on Oct 8, 2026.