Individual
NOWAI VESSIALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 BACON ST, PAWTUCKET, RI 02860-5542
(401) 722-3560
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
201589
RI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00975
RI
Other
Enumeration date
11/16/2023
Last updated
03/06/2024
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