Individual
MR. SAMUEL LOUIS CIOTOLA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LMFT
Contact information
Practice address
652 GEORGE WASHINGTON HWY, SUITE 102, LINCOLN, RI 02865-4330
(401) 475-9979
(401) 475-9917
Mailing address
23 MELLO ST, WEST WARWICK, RI 02893-4109
(401) 787-6926
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT000094
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1021740
GRP # NEIGHBORHOOD HEALTH
RI
01
—
31348-3
BLUE CROSS/SHIELD
RI
01
—
413412
BLUE CHIP
RI
05
—
SC42700
—
RI
Enumeration date
07/12/2006
Last updated
08/14/2013
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