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Individual

ELISA D REID

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LCDP

Contact information

Practice address
2000 DIAMOND HILL RD STE 18, WOONSOCKET, RI 02895-1554
(401) 470-7116
Mailing address
PO BOX 746088, ATLANTA, GA 30374-6088

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDP00292
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
62-69633
UBH
RI
05
ER51361
RI
Enumeration date
08/03/2006
Last updated
04/24/2026
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