Individual provider · Type 1 NPI

Johanny Matos Ciprian

Addiction (Substance Use Disorder) Counselor · Providence, RI

NPI number 1548098882 Active

Practice location

1020 Park Ave
Providence, RI 02910-3227

Call (401) 396-7649 Map

Mailing address

111 Wayland Ave
Providence, RI 02906-4371

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDP00996 (RI)

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

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About NPI 1548098882

Johanny Matos Ciprian's National Provider Identifier is 1548098882, issued on Jul 25, 2024. 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 Jun 16, 2025.