MICHAEL CANCILLIERE

PAWTUCKET, RI
NPI1225064751
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: RI  MHC00253)
Enumeration Date2006-06-25
Last Update Date2007-11-26
Business Address
-- MICHAEL CANCILLIERE LMHC
1070 MAIN ST
PAWTUCKET, RI 02860-4847
Phone number: 401-727-6413
Mailing Address
-- MICHAEL CANCILLIERE LMHC
528 N MAIN ST
PROVIDENCE, RI 02904-5757
Phone number: