Individual
MRS. LINDA ANN MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDP, CDCS
Contact information
Practice address
15 BAKER PINE RD, WYOMING, RI 02898-1000
(401) 539-3002
(401) 539-8505
Mailing address
15 BAKER PINES RD, WYOMING, RI 02898
(401) 539-3002
(401) 539-8505
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCS 100600
RI
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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