Individual provider · Type 1 NPI

Lisa Ann Ciccone, BSW, BS, BA

Addiction (Substance Use Disorder) Counselor · Providence, RI

NPI number 1528370145 Active

Practice location

66 Pavilion Ave
Providence, RI 02905-1522

Call (401) 461-9110 Map

Fax (401) 461-9194

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 1528370145

Lisa Ann Ciccone, BSW, BS, BA's National Provider Identifier is 1528370145, issued on Jul 12, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Providence, RI. The record was last updated on Jul 12, 2010.