Marisa Ciccone, LCDP
NPI #1972064335 in Pawtucket, Rhode Island
Provider Information
- NPI Number
- 1972064335
- Entity Type
- Individual
- Name
- Marisa Ciccone, LCDP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LCDP
- Enumeration Date
- Mar 28, 2019
- Last Updated
- Mar 28, 2019
Practice Location
- Address
- 31 N UNION ST
- City
- Pawtucket
- State
- Rhode Island
- ZIP Code
- 02860-2915
- Phone
- (401) 725-2520
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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