Ethan M. Barrett, LCDP
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Providence, RI
NPI 1942546403 · NPPES record last updated Jan 2, 2013
Key facts
- NPI
- 1942546403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CDP00541 (RI)
- Practice address
- 530 N Main St
Providence, RI 02904-5762 - Phone
- (401) 274-2500
- NPI assigned
- Jan 2, 2013
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| CDP00541 | RI | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDP00541 | RI | Yes |
Addresses
Primary practice location
530 N Main St
Providence, RI 02904-5762
Mailing address
528 N Main St
Providence, RI 02904-5757
Other providers in Providence, RI
- Rikat Baroody
- Philip Duane Barr
- David T. Barrall
- Stephanie Barrena
- Christine Barrett
- Margaret Gayle Barrett
- Amy C Barrette
- Sebastien Barrette
- Carlos J Barrientos
- Barrington Urgent Care, PC
All providers in 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 Jan 2, 2013. 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.