FRED M PIERCE

PROVIDENCE, RI
NPI1386865954
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI  LCDP-97)
Enumeration Date2007-05-01
Last Update Date2007-07-08
Business Address
Mr. FRED M PIERCE LCDP
CODAC PROVIDENCE 349 HUNTINGTON AVE
PROVIDENCE, RI 02909
Phone number: 401-942-1450
Mailing Address
Mr. FRED M PIERCE LCDP
19 DORIS AVE
WARWICK, RI 02889
Phone number: 401-737-0698