Individual
KIMBERLY PLOETTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, LCDCS, LCDP
Contact information
Practice address
530 N MAIN ST, PROVIDENCE, RI 02904-5762
(401) 274-2500
Mailing address
40 LISA LN, HOPE VALLEY, RI 02832-1241
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDP00509
RI
101YM0800X
Mental Health Counselor
Primary
MHC00859
RI
Other
Enumeration date
01/06/2012
Last updated
03/17/2018
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