Individual
NICHOLAS ALEXANDER BOTTELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDP
Contact information
Practice address
2756 POST RD., WARWICK, RI 02886
(401) 691-6000
(401) 691-3398
Mailing address
2756 POST RD., WARWICK, RI 02886
(401) 691-6000
(401) 691-3398
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00777
RI
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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