Individual provider · Type 1 NPI

Kaysie J. Vanterpool

Addiction (Substance Use Disorder) Counselor · Pawtucket, RI

NPI number 1124984307 Active

Practice location

101-103 Bacon St
Pawtucket, RI 02860-5542

Call (401) 722-3560 Map

Fax (401) 722-3593

Mailing address

15 La Salle Sq
Providence, RI 02903-1814

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDP01079 (RI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1124984307

Kaysie J. Vanterpool's National Provider Identifier is 1124984307, issued on Dec 31, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pawtucket, RI. The record was last updated on Feb 6, 2026.