MR. Gregory Andersen SR., BA LCDP
NPI #1396141644 in Wakefield, Rhode Island
Provider Information
- NPI Number
- 1396141644
- Entity Type
- Individual
- Name
- MR. Gregory Andersen SR., BA LCDP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- BA LCDP
- Enumeration Date
- Nov 14, 2014
- Last Updated
- Nov 14, 2014
Practice Location
- Address
- 350 COLUMBIA ST
- City
- Wakefield
- State
- Rhode Island
- ZIP Code
- 02879-2494
- Phone
- (401) 789-0934
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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