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Individual
KELSEY COLETTA
Active
Individual
KELSEY COLETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, LCDP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00947
RI
1041C0700X
Clinical Social Worker
ISW04065
RI
Other
Enumeration date
04/28/2021
Last updated
11/26/2025
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