Individual
MR. MICHAEL P CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAGS,MA,LMHC,LCDP
Contact information
Practice address
1130 TEN ROD RD, NORTH KINGSTOWN, RI 02852-4161
(401) 741-7755
(401) 267-0105
Mailing address
136 CARRIAGE HILL RD, NORTH KINGSTOWN, RI 02852-1419
(401) 741-7755
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00228
RI
101YM0800X
Mental Health Counselor
MHC00403
RI
Other
Enumeration date
08/05/2006
Last updated
01/28/2024
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