Organization Name: | NANCY LYNN LEVESQUE KUBIC |
NPI Number: | 1902054323 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NANCY LYNN KUBIC (LICSW) |
Mailing Address: | 625 Main Rd Tiverton |
State: | RI US |
Postal Code: | 028781351 |
Phone Number: | 4018165800 |
Fax Number: | 4018165802 |
NPI Enumeration Date: | 08/28/2008 |
NPI Last Update Date: | 08/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |