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Individual

MRS. CHRISTINA A DENTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCDP

Contact information

Practice address
101 BACON ST, PAWTUCKET, RI 02860-5542
(401) 722-3560
Mailing address
11 YALE DR, COVENTRY, RI 02816-7149
(401) 465-5837

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CD00786
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CDP00786
CHEMICAL DEPENDENCY PROFESSIONAL
RI
Enumeration date
01/30/2020
Last updated
01/30/2020
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