DAVID ROBERT GENDREAU

PROVIDENCE, RI
NPI1235668807
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI  CDP00668)
Enumeration Date2017-06-07
Last Update Date2022-07-21
Business Address
DAVID ROBERT GENDREAU BA, CADC, LCDP, CSEP
530 N MAIN ST
PROVIDENCE, RI 02904-5762
Phone number: 401-276-6114
Mailing Address
DAVID ROBERT GENDREAU BA, CADC, LCDP, CSEP
530 N MAIN ST
PROVIDENCE, RI 02904-5762
Phone number: 401-276-6114