Individual
GREGORY GRAUSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDP
Contact information
Practice address
198 CENTRAL ST # 200, CENTRAL FALLS, RI 02863-2847
(401) 365-6811
(401) 365-6813
Mailing address
198 CENTRAL ST # 200, CENTRAL FALLS, RI 02863-2847
(401) 365-6811
(401) 365-6813
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDP00004
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GH57134
GROUP NUMBER
RI
Enumeration date
04/13/2007
Last updated
07/08/2007
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