Individual
JANET LINNEHAN CARDILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, LCDP
Contact information
Practice address
2198 WALLUM LAKE RD, PASCOAG, RI 02859-1813
(401) 568-5284
Mailing address
528 N MAIN ST, PROVIDENCE, RI 02904-5757
(401) 528-0123
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDP00358
RI
101YM0800X
Mental Health Counselor
Primary
MHC00331
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32719-0
B.CROSS
RI
01
—
414119
B.CHIP
RI
01
—
62-69667
UNITED BEHAVIORAL HEALTH
RI
05
—
JC58340
—
RI
Enumeration date
09/25/2006
Last updated
11/27/2007
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