Individual
MS. LINDA HURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDCS
Contact information
Practice address
CODAC INC, 1052 PARK AVE, CRANSTON, RI 02910
(401) 461-5056
Mailing address
188 KAY ST, NEWPORT, RI 02940
(401) 847-8565
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCS-43
RI
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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