Individual
MRS. JASMIN A DIMAIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDP, ACDP
Contact information
Practice address
530 N MAIN ST, 4TH FLOOR SUITE 3, PROVIDENCE, RI 02904-5762
(401) 437-8657
(401) 528-0188
Mailing address
530 N MAIN ST, 4TH FLOOR SUITE 3, PROVIDENCE, RI 02904-5762
(401) 437-8657
(401) 528-0188
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACDP163308
RI
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDP00463
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GH57134
—
RI
Enumeration date
12/26/2008
Last updated
07/19/2010
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