Individual
STEVEN R CARDOZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
55 CHERRY LN, WAKEFIELD, RI 02879-3617
(401) 789-1367
(401) 789-6744
Mailing address
4705 OLD POST RD UNIT A, CHARLESTOWN, RI 02813-1842
(401) 364-7705
(401) 364-9104
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SC97096
—
RI
Enumeration date
02/23/2012
Last updated
06/05/2014
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