Individual provider · Type 1 NPI

Kenneth Jason Mayer

Addiction (Substance Use Disorder) Counselor · Woonsocket, RI

NPI number 1255997904 Active

Practice location

1625 Diamond Hill Rd
Woonsocket, RI 02895-1771

Call (401) 762-1511 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1255997904

Kenneth Jason Mayer's National Provider Identifier is 1255997904, issued on May 17, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Woonsocket, RI. The record was last updated on May 17, 2019.