Individual
MR. GEORGE EDWARD BENEDICT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
PROVIDENCE VAMC, 830 CHALKSTONE AVENUE, PROVIDENCE, RI 02908-4799
(401) 271-7300
(401) 457-1401
Mailing address
3595 POST RD, APT # 16105, WARWICK, RI 02886-7078
(401) 737-5404
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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