Individual provider · Type 1 NPI

Kelly Levesque, LCDP

Addiction (Substance Use Disorder) Counselor · Pawtucket, RI

NPI number 1679877906 Active

Practice location

166 Pawtucket Ave
Pawtucket, RI 02860-3811

Call (401) 722-4644 Map

Fax (401) 722-5039

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDP00429 (RI)

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

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About NPI 1679877906

Kelly Levesque, LCDP's National Provider Identifier is 1679877906, issued on Dec 30, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pawtucket, RI. The record was last updated on Dec 30, 2010.