Individual
MS. CHARMIAN TALBOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LADC1, LCDP
Contact information
Practice address
151 LAWRENCE CT, TIVERTON, RI 02878-3932
(401) 744-8755
Mailing address
151 LAWRENCE CT, TIVERTON, RI 02878-3932
(401) 744-8755
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16940
MA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDP00603
RI
Other
Enumeration date
02/16/2015
Last updated
12/16/2024
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