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Individual

ANGEL BARRAZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCDP

Contact information

Practice address
51 CLAY ST, CENTRAL FALLS, RI 02863-3029
(401) 726-8080
(401) 726-8087
Mailing address
51 CLAY ST, CENTRAL FALLS, RI 02863-3029
(401) 726-8080
(401) 726-8087

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDP00243
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30343
BC SUBSTANCE
RI
Enumeration date
10/23/2006
Last updated
07/08/2007
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