Individual
MARK STOUTZENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2756 POST RD STE 104, WARWICK, RI 02886-3077
(401) 691-6000
Mailing address
12 STRATHCONA RD, CRANSTON, RI 02910-2341
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
RI
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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