Individual
PAUL KOPPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDP
Contact information
Practice address
55 CUMMINGS WAY, WOONSOCKET, RI 02895-3247
(401) 235-7000
Mailing address
1950 TOWER HILL RD, NORTH KINGSTOWN, RI 02852-6639
(401) 235-7000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00504
RI
Other
Enumeration date
04/05/2013
Last updated
04/05/2013
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