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Individual
MR. MIKE PAUL VISCONTI
Active
Individual
MR. MIKE PAUL VISCONTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RAS, CCDS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RI-V0811190900
CA
Other
Enumeration date
02/27/2009
Last updated
09/06/2012
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