Individual provider · Type 1 NPI

Carolynne C. Davis, L.C.D.P

Addiction (Substance Use Disorder) Counselor · Pawtucket, RI

NPI number 1265594774 Active

Practice location

166 Pawtucket Ave
Pawtucket, RI 02860-3811

Call (401) 722-4644 Map

Fax (401) 475-9533

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCDP 00180 (RI)

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

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About NPI 1265594774

Carolynne C. Davis, L.C.D.P's National Provider Identifier is 1265594774, issued on Dec 14, 2006. 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 Jul 8, 2007.