Individual
MELISSA F FAVALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDP
Contact information
Practice address
86 BEACH ST, WESTERLY, RI 02891-2718
(401) 596-0969
Mailing address
10 MARRIOTT AVE APT 1, WESTERLY, RI 02891-5126
(401) 952-0434
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00967
RI
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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