Individual provider · Type 1 NPI

Marcel A. Trisvan, LCDP

Addiction (Substance Use Disorder) Counselor · Providence, RI

NPI number 1780805283 Active

Practice location

Codac Providence, 349 Huntington Ave
Providence, RI 02909

Call (401) 942-1450 Map

Mailing address

31 Nellie St
Providence, RI 02904

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCDP-352 (RI)

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

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About NPI 1780805283

Marcel A. Trisvan, LCDP's National Provider Identifier is 1780805283, issued on May 1, 2007. 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 8, 2007.