Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katherine Jane Licciardello

Individual provider Mental Health Counselor · NPI 1104656677

Katherine Jane Licciardello is a Mental Health Counselor in Warwick, Rhode Island. Practices as a sole proprietor. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2024

Practice location Address checks out

659 Sandy Ln # 3
Warwick, RI 02889-8241
Phone: (401) 441-8449
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (RI)

Record details

NPI number1104656677
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 7, 2024
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024

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