IndividualActive
Jacob Clemen
NPI 1467208561 · Mental Health Counselor · Kingston, RI
Provider details
- NPI number
- 1467208561
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- MHC00179-A (RI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
90 Lower College Rd Ste 238
Kingston, RI 02881-1970
Phone: (401) 874-9085
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1845
Kingston, RI 02881-0498
Registry dates
- Enumerated
- 2024-04-29
- Last updated
- 2024-04-29
- Certified
- 2024-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.