CHALICE MATHIOUDAKIS

Counselor

Active Individual
NPI: 1780950402

Practice Address

1 RICHMOND SQ STE 103K
Providence, RI 02906

Phone: (401) 648-2400

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1780950402 is the National Provider Identifier for CHALICE MATHIOUDAKIS, a Counselor provider located in Providence, RI. This NPI was enumerated on March 27, 2012.
CHALICE MATHIOUDAKIS practices at 1 RICHMOND SQ STE 103K, Providence, RI 02906.

Quick Facts

NPI
1780950402
Type
Individual
Enumerated
Mar 27, 2012
Last Updated
Feb 22, 2021

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