Individual
CHARLES SCULLIN
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
(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
CDP00895
RI
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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