Individual
MISS ASHLEY L ADDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, LCDP, CCSP
Contact information
Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 276-4100
Mailing address
95 STAMFORD AVE, PROVIDENCE, RI 02907-3737
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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