Individual
MR. WILFREDO FELICIANO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA, LADAC1,CAS
Contact information
Practice address
22 FRONT ST, FALL RIVER, MA 02721-4302
(508) 676-1307
(508) 674-4493
Mailing address
160 JOHN DUGGAN RD, TIVERTON, RI 02878-1555
(401) 625-1126
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LADAC1-1333,CAS-4357
MA
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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