Individual
TARA RONDEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCDP
Contact information
Practice address
49 S COUNTY COMMONS WAY, UNIT 49 F6, SOUTH KINGSTOWN, RI 02879-8269
(401) 783-2220
(401) 783-2224
Mailing address
49 S COUNTY COMMONS WAY, UNIT 49 F6, SOUTH KINGSTOWN, RI 02879-8269
(401) 783-2220
(401) 783-2224
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00773
RI
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CDP00773
STATE OF RI
RI
Enumeration date
12/01/2016
Last updated
04/16/2021
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