Individual
JESSICA LYNNE O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDP
Contact information
Practice address
4705 OLD POST RD, CHARLESTOWN, RI 02813-1841
(401) 364-7705
(401) 364-3310
Mailing address
24 MERRILL LN UNIT 202, NORTH KINGSTOWN, RI 02852-7686
(401) 787-8330
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00875
RI
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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