Individual
JOANNE ELIZABETH O'ROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDP
Contact information
Practice address
2756 POST RD, WARWICH, RI 02886
(401) 738-1338
(401) 739-5239
Mailing address
2756 POST RD, WARWICH, RI 02886
(401) 738-1338
(401) 739-5239
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00612
RI
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CDP00612
LISCENSE
RI
Enumeration date
05/08/2015
Last updated
05/08/2015
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