Individual provider · Type 1 NPI
Kimberly Micucci, LCDP
Addiction (Substance Use Disorder) Counselor · North Kingstown, RI
NPI number
1154613909
Active
Practice location
1950 Tower Hill Road, Acute Stabilization Unit
North Kingstown, RI 02852
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CDP00497 (RI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1154613909
Kimberly Micucci, LCDP's National Provider Identifier is 1154613909, issued on May 12, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in North Kingstown, RI. The record was last updated on May 19, 2011.