Individual
KATELYN RITA MICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC, LCDP
Contact information
Practice address
100 RANDALL ST, PROVIDENCE, RI 02904-2723
(401) 235-7000
(401) 767-4516
Mailing address
PO BOX 1700, WOONSOCKET, RI 02895-0856
(401) 235-7000
(401) 767-4516
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00853
RI
Other
Enumeration date
12/08/2020
Last updated
04/29/2022
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