Elliott Butcher
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · East Providence, RI
NPI 1154854560 · NPPES record last updated Apr 4, 2017
Key facts
- NPI
- 1154854560
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 64 Vine St
East Providence, RI 02914-4317 - Phone
- (917) 498-1876
- NPI assigned
- Apr 4, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
64 Vine St
East Providence, RI 02914-4317
Mailing address
64 Vine St
East Providence, RI 02914-4317
Other providers in East Providence, RI
- Caitlin Burditt
- Crisolita Dacruz Burgess
- Robin Lynn Burgess
- Paul Burke
- Suzanne Burns
- Jonathan Costa Cabral
- Lisa Ann Cabral
- Michael Caetano
- Bonnie Cahill
- Rachael L Caiati
All providers in East Providence, RI · Addiction (Substance Use Disorder) Counselor in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.