Individual
JEFFREY ALEXANDER DUCLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDP
Contact information
Practice address
58 E MAIN RD, MIDDLETOWN, RI 02842-4988
(401) 608-3322
(401) 608-3323
Mailing address
58 E MAIN RD, MIDDLETOWN, RI 02842-4988
(401) 608-3322
(401) 608-3323
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00640
RI
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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