Individual
MICHELLE HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDP
Contact information
Practice address
460 PINE ST, PROVIDENCE, RI 02907-1358
(401) 274-9373
Mailing address
460 PINE ST, PROVIDENCE, RI 02907-1358
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP01052
RI
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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