Individual
JOE L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDP, CCJP, CAS, RCS
Contact information
Practice address
2020 ELMWOOD AVE, WARWICK, RI 02888-2404
(401) 781-2700
(401) 781-2790
Mailing address
2020 ELMWOOD AVE, WARWICK, RI 02888-2404
(401) 781-2700
(401) 781-2790
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDP00081
RI
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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