Provider Demographics
NPI:1215165964
Name:FERREIRA-AUBIN, KATIE ELAINE (CAGS, LMHC)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:ELAINE
Last Name:FERREIRA-AUBIN
Suffix:
Gender:F
Credentials:CAGS, LMHC
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:ELAINE
Other - Last Name:FERREIRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CAGS, LMHC
Mailing Address - Street 1:PO BOX 8722
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02888-0722
Mailing Address - Country:US
Mailing Address - Phone:401-383-2200
Mailing Address - Fax:401-256-5209
Practice Address - Street 1:1087 WARWICK AVE (REAR)
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02888-3545
Practice Address - Country:US
Practice Address - Phone:401-383-2200
Practice Address - Fax:401-256-5209
Is Sole Proprietor?:No
Enumeration Date:2009-07-01
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMCH00741101YM0800X
MAS49484840101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health