Individual
MATHEW CRECELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 CENTRAL ST, CENTRAL FALLS, RI 02863-2847
(401) 365-6811
(401) 365-6813
Mailing address
19 IVY ST, PAWTUCKET, RI 02860-1710
(401) 834-0876
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP01035
RI
Other
Enumeration date
04/03/2025
Last updated
04/24/2025
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