Individual
JUSTIN M CARDOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDP
Contact information
Practice address
2792 VICTORY HWY, HARRISVILLE, RI 02830-1945
(401) 559-0636
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP01056
RI
Other
Enumeration date
08/11/2025
Last updated
10/14/2025
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