Individual
MRS. KELLY ANN RIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCDP, RCS
Contact information
Practice address
245 MAIN ST, WOONSOCKET, RI 02895-3123
(401) 766-0900
(402) 767-4099
Mailing address
7 E KILLINGLY RD, FOSTER, RI 02825-1429
(401) 647-5939
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDP00100
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
KR50789
—
RI
Enumeration date
02/08/2007
Last updated
07/09/2007
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