Individual
NIKOLAI BLINOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASSOCIATES
Contact information
Practice address
897 RESERVOIR AVE, CRANSTON, RI 02910-4435
(401) 379-9998
(401) 379-9998
Mailing address
897 RESERVOIR AVE, CRANSTON, RI 02910-4435
(401) 379-9998
(401) 379-9998
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
MHC00712
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GH57134
—
RI
Enumeration date
08/27/2013
Last updated
07/21/2022
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