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Individual
JODI ERIN DEANGELIS
Active
Individual
JODI ERIN DEANGELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCDP
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C179
RI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00594
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C179
COUNSELOR CERTIFICATE STATE OF RHODE ISLAND
RI
Enumeration date
12/09/2008
Last updated
01/12/2015
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