Individual
SARAH LEVEILLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDP
Contact information
Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 274-2500
Mailing address
528 N MAIN ST, PROVIDENCE, RI 02904-5757
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDP00540
RI
101YM0800X
Mental Health Counselor
Primary
MHC00917
RI
Other
Enumeration date
01/30/2013
Last updated
12/29/2017
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