Individual
MRS. KIERAN DIAN PATRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDP
Contact information
Practice address
1950 TOWER HILL RD, NORTH KINGSTOWN, RI 02852-6628
(401) 294-6160
(401) 295-2513
Mailing address
1950 TOWER HILL RD, NORTH KINGSTOWN, RI 02852-6628
(401) 294-6160
(401) 295-2513
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00494
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CDP00494
RHODE ISLAND DEPT OF HEALTH
RI
Enumeration date
11/14/2011
Last updated
11/14/2011
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