Individual
GARRICK WANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC, LCDP
Contact information
Practice address
110 ELMWOOD AVE, PROVIDENCE, RI 02907-2423
(401) 300-5757
Mailing address
261 GLEN HILLS DR, CRANSTON, RI 02920-3529
(401) 390-9165
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP01005
RI
Other
Enumeration date
10/16/2024
Last updated
12/26/2025
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