Individual
ASHLEY C LATAILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDP
Contact information
Practice address
205 HALLENE RD STE 102, WARWICK, RI 02886-2451
(401) 737-4788
(401) 736-5299
Mailing address
128 SEFTON AVE, WARWICK, RI 02889-8327
(401) 516-5300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00999
RI
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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