Individual provider · Type 1 NPI

Marisa Ciccone, LCDP

Addiction (Substance Use Disorder) Counselor · Pawtucket, RI

NPI number 1972064335 Active

Practice location

31 N Union St
Pawtucket, RI 02860-2915

Call (401) 725-2520 Map

Fax (401) 723-9595

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCPD00770 (RI)

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

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About NPI 1972064335

Marisa Ciccone, LCDP's National Provider Identifier is 1972064335, issued on Mar 28, 2019. 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 Mar 28, 2019.