Individual
MARTIN MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, LCPD, NCGCII,SAP
Contact information
Practice address
2020 ELMWOOD AVENUE, KENTHOUSE INC, WARWICK, RI 02888
(401) 781-2700
Mailing address
2020 ELMWOOD AVENUE, KENTHOUSE INC, WARWICK, RI 02888
(401) 781-2700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00333
RI
101YA0400X
Addiction (Substance Use Disorder) Counselor
340
RI
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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