Individual
LORI-ANN TETREAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW, LCDP
Contact information
Practice address
15 WOODHAVEN RD, PAWTUCKET, RI 02861-3530
(401) 365-7509
Mailing address
15 WOODHAVEN RD, PAWTUCKET, RI 02861-3530
(401) 365-7509
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDC00626
RI
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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