Individual provider · Type 1 NPI

Susan Montaquilla, LMHC, LCDP

Mental Health Counselor · Cranston, RI

NPI number 1366483125 Active

Practice location

111 Howard Ave Bldg 56
Cranston, RI 02920-3001

Call (401) 462-1021 Map

Mailing address

528 N Main St
Providence, RI 02904-5757

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMHC00329 (RI)
Addiction (Substance Use Disorder) Counselor 101YA0400XLCDP00239 (RI)

Mental Health Counselor: Definition to come...

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About NPI 1366483125

Susan Montaquilla, LMHC, LCDP's National Provider Identifier is 1366483125, issued on Jun 10, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cranston, RI. The record was last updated on Mar 30, 2009.