Individual
KAYSIE J VANTERPOOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101-103 BACON ST, PAWTUCKET, RI 02860-5542
(401) 722-3560
(401) 722-3593
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP01079
RI
Other
Enumeration date
12/31/2025
Last updated
02/06/2026
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