Rondeau, Jennifer

Rondeau, Jennifer is an individual health care provider with primary practice located at 1090 New London Ave , Cranston RI 02920-3035. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Rondeau, Jennifer can be contacted via phone (401) 463-5778.

Contact Information

Primary practice address
1090 New London Ave Cranston RI 02920-3035
Phone: (401) 463-5778
Fax: (401) 463-3582
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MHC00224 Rhode Island

Profile Details

NPI number 1437105236
LBN Legal business name Rondeau, Jennifer
Credentials MHC00224
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated May 6th, 2008 - about 18 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 1437105236 NPPES
Rhode Island MEDICAID JR54808

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