Individual provider · Type 1 NPI

Jeffrey Scott Derouin

Addiction (Substance Use Disorder) Counselor · Pawtucket, RI

NPI number 1760902225 Active

Practice location

82 Pond St
Pawtucket, RI 02860-4462

Mailing address

82 Pond St
Pawtucket, RI 02816

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 1760902225

Jeffrey Scott Derouin's National Provider Identifier is 1760902225, issued on Jun 26, 2017. 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 Jul 21, 2022.