Individual
JAMIE LYNN SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDP
Contact information
Practice address
120 WEBSTER ST, PAWTUCKET, RI 02861-1168
(401) 383-4885
Mailing address
120 WEBSTER ST, PAWTUCKET, RI 02861-1168
(401) 383-4885
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00798
RI
Other
Enumeration date
06/21/2019
Last updated
11/25/2025
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