Roosevelt Dale
NPI #1962375477 in Johnston, Rhode Island
Provider Information
- NPI Number
- 1962375477
- Entity Type
- Individual
- Name
- Roosevelt Dale
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Sep 29, 2025
- Last Updated
- Dec 25, 2025
Practice Location
- Address
- 806 GREENVILLE AVE
- City
- Johnston
- State
- Rhode Island
- ZIP Code
- 02919-1305
- Phone
- (401) 516-1314
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Community Health Worker |
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