Individual
LORENE CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 DIAMOND HILL RD, WOONSOCKET, RI 02895-1771
(401) 762-1511
(401) 762-1609
Mailing address
1625 DIAMOND HILL RD, WOONSOCKET, RI 02895-1771
(401) 762-1511
(401) 762-1609
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050444312
—
RI
Enumeration date
03/28/2016
Last updated
03/28/2016
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