Individual
MR. SETH PICCOLO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDP
Contact information
Practice address
4705A OLD POST RD, CHARLESTOWN, RI 02813-1842
(401) 364-7705
(401) 364-1982
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP01060
RI
Other
Enumeration date
08/27/2025
Last updated
12/10/2025
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