Dennis Auger, LCDP

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

NPI 1871652800 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1871652800
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
LCDP8306 (RI)
Practice address
249 Roosevelt Ave
Suite 205
Pawtucket, RI 02860-2134
Phone
(401) 724-8400
Fax
(401) 365-1100
NPI assigned
Dec 6, 2006
Sex
Male
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

LicenseStateTypeSpecialty
LCDP8306RIMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCDP8306 RI Yes

Addresses

Primary practice location

249 Roosevelt Ave
Suite 205
Pawtucket, RI 02860-2134

Mailing address

249 Roosevelt Ave
Suite 205
Pawtucket, RI 02860-2134
Phone (401) 724-8400

Other identifiers

IdentifierTypeStateIssuer
GH56996OtherRISUBSTANCE ABUSE CONTRACT

Other providers in Pawtucket, RI

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

Sources for this page

Verify at the official NPI Registry.