Archambault, Richard C

Archambault, Richard C is an individual health care provider with primary practice located at 593 Eddy St Potter 3, Providence RI 02903-4923. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Archambault, Richard C can be contacted via phone (401) 444-3534.

Contact Information

Primary practice address
593 Eddy St Potter 3 Providence RI 02903-4923
Phone: (401) 444-3534
Fax: (401) 444-3298
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT00013 Rhode Island

Profile Details

NPI number 1699750067
LBN Legal business name Archambault, Richard C
Credentials EDD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Jan 30th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699750067 NPPES
Rhode Island Other MFT00013 PROFESSIONAL LICENSE

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