Individual
LUIS ANTHONY ESCOBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC, LCDP
Contact information
Practice address
66 BURNETT ST, PROVIDENCE, RI 02907-2527
(401) 433-8336
Mailing address
311 MAYFIELD AVE, CRANSTON, RI 02920-2947
(401) 433-8336
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00938
RI
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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