Individual
ANTONIA RODRIGUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 889-5790
Mailing address
184 9TH ST, PROVIDENCE, RI 02906-2931
(401) 999-2919
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
RI
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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