Individual
LISA WALDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1950 TOWER HILL RD, NORTH KINGSTOWN, RI 02852-6639
(401) 235-7000
(401) 235-7000
Mailing address
800 CLINTON ST, WOONSOCKET, RI 02895-3245
(401) 235-7000
(401) 767-4516
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2438
MA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00110
RI
Other
Enumeration date
07/27/2012
Last updated
06/25/2015
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