Tammy Brown, LCDP-410
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Cranston, RI
NPI 1629249156 · NPPES record last updated Mar 12, 2008
Key facts
- NPI
- 1629249156
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- LCDP-00410 (RI)
- Practice address
- 1052 Park Ave
Cranston, RI 02910-3225 - Phone
- (401) 461-5056
- Fax
- (401) 943-2167
- NPI assigned
- Mar 12, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCDP-00410 | RI | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCDP-00410 | RI | Yes |
Addresses
Primary practice location
1052 Park Ave
Cranston, RI 02910-3225
Mailing address
1 Latham Farm Rd
Smithfield, RI 02917-1001
Phone (401) 349-4387
Other providers in Cranston, RI
- Annette Estelle Briand
- Dana M Brodin
- Steven Matthew Brooks
- Francine Brown
- Sara Michelle Brown
- Sophia Grace Brownstein
- Nathalie Brunelle
- Jacqueline Brunner
- Amy Ann Buchanan
- Trudi A Buck
All providers in Cranston, 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 Mar 12, 2008. 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.