GREGORY ANDERSEN

WAKEFIELD, RI
NPI1396141644
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI  CDP00478)
Enumeration Date2014-11-14
Last Update Date2014-11-14
Business Address
Mr. GREGORY ANDERSEN BA LCDP
350 COLUMBIA ST
WAKEFIELD, RI 02879-2494
Phone number: 401-789-0934
Mailing Address
Mr. GREGORY ANDERSEN BA LCDP
30 LAKESIDE DR
CHARLESTOWN, RI 02813-3143
Phone number: 401-789-0934
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