Rosemarie Jalette, LCDP

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Central Falls, RI

NPI 1679636252 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1679636252
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
LCDP000057 (RI)
Practice address
51 Clay St
Central Falls, RI 02863-3029
Phone
(401) 726-8080
Fax
(401) 726-8087
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LCDP000057RIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Healthcare Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCDP000057 RI Yes

Addresses

Primary practice location

51 Clay St
Central Falls, RI 02863-3029

Mailing address

51 Clay St
Central Falls, RI 02863-3029
Phone (401) 726-8080

Other identifiers

IdentifierTypeStateIssuer
CONTRACTMedicaidRI

Other providers in Central Falls, RI

All providers in Central Falls, RI · Addiction (Substance Use Disorder) Counselor in Rhode Island

Sources for this page

Verify at the official NPI Registry.