Individual
ELIJAH PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDP
Contact information
Practice address
98 SUMTER ST, PROVIDENCE, RI 02907-2117
(401) 484-0494
Mailing address
98 SUMTER ST, PROVIDENCE, RI 02907-2117
(401) 484-0494
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00979
RI
Other
Enumeration date
04/04/2024
Last updated
12/03/2025
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