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Individual
MR. MICHAEL VITO PROMESSO
Active
Individual
MR. MICHAEL VITO PROMESSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RASI,RADT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RI-P1404240856
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RI-P1404240856
CCAPP
CA
01
—
RI-P1404240856
CCAPP REGISTRATION NUMBER
—
Enumeration date
02/27/2019
Last updated
02/27/2019
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