Individual provider · Type 1 NPI

Lisa Roberts Iv

Addiction (Substance Use Disorder) Counselor · Woonsocket, RI

NPI number 1356437396 Active

Practice location

55 John A Cummings Way
Woonsocket, RI 02895-3247

Mailing address

637 S Main St
Woonsocket, RI 02895-5758

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XPC396 (RI)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDP00537 (RI)

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

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About NPI 1356437396

Lisa Roberts Iv's National Provider Identifier is 1356437396, issued on Oct 5, 2006. 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 Oct 30, 2012.