Individual provider · Type 1 NPI
Michael P. Connell, CAGS, MA, LMHC, LCDP
Addiction (Substance Use Disorder) Counselor · North Kingstown, RI
NPI number
1497764997
Active
Practice location
1130 Ten Rod Rd
North Kingstown, RI 02852-4161
Fax (401) 267-0105
Mailing address
136 Carriage Hill Rd
North Kingstown, RI 02852-1419
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | MHC00403 (RI) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 00228 (RI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1497764997
Michael P. Connell, CAGS, MA, LMHC, LCDP's National Provider Identifier is 1497764997, issued on Aug 5, 2006. 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 Jan 28, 2024.