Individual
KIMBERLY MICUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDP
Contact information
Practice address
1950 TOWER HILL ROAD, ACUTE STABILIZATION UNIT, NORTH KINGSTOWN, RI 02852
(401) 235-7000
Mailing address
1950 TOWER HILL ROAD, ACUTE STABILIZATION UNIT, NORTH KINGSTOWN, RI 02852
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00497
RI
Other
Enumeration date
05/12/2011
Last updated
05/19/2011
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