Individual
CHERYL ROCCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDP
Contact information
Practice address
1516 ATWOOD AVE, JOHNSTON, RI 02919-3223
(401) 553-1000
(401) 553-1143
Mailing address
1516 ATWOOD AVE, JOHNSTON, RI 02919-3223
(401) 553-1000
(401) 553-1143
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDP00404
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GH57134
—
RI
Enumeration date
08/19/2008
Last updated
08/19/2008
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