Individual provider · Type 1 NPI
Roosevelt Dale
Addiction (Substance Use Disorder) Counselor · Johnston, RI
NPI number
1962375477
Active
Practice location
806 Greenville Ave
Johnston, RI 02919-1305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CDP01081 (RI) |
| Community Health Worker | 172V00000X | 201835 (RI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
Other addiction (substance use disorder) counselor providers in Johnston
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- Denise Aguiar, LCDPAddiction (Substance Use Disorder) Counselor Johnston, RI NPI 1285886200
- Laura White, LCDPAddiction (Substance Use Disorder) Counselor Johnston, RI NPI 1336734763
- Alexa Vazquez, MAAddiction (Substance Use Disorder) Counselor Johnston, RI NPI 1346080199
- Cheryl Roccio, LCDPAddiction (Substance Use Disorder) Counselor Johnston, RI NPI 1376790592
About NPI 1962375477
Roosevelt Dale's National Provider Identifier is 1962375477, issued on Sep 29, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Johnston, RI. The record was last updated on Dec 25, 2025.