Individual
STEPHEN CHRISTOPHER DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2756 POST RD, WARWICK, RI 02886-3077
(401) 691-6000
Mailing address
191A STONY LN, NORTH KINGSTOWN, RI 02852-3823
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00966
RI
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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