Individual
BETHANY CONTRERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDP
Contact information
Practice address
40 HOWARD AVE, CRANSTON, RI 02920-3031
(401) 462-2006
Mailing address
528 N MAIN ST, PROVIDENCE, RI 02904-5757
(401) 462-2006
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00572
RI
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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