MICHAEL BETTENCOURT

EAST PROVIDENCE, RI
NPI1558767236
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: RI  CDP00524)
Enumeration Date2014-11-07
Last Update Date2014-11-07
Business Address
MICHAEL BETTENCOURT LCDP
850 WATERMAN AVE
EAST PROVIDENCE, RI 02914-1729
Phone number: 401-434-4999
Mailing Address
MICHAEL BETTENCOURT LCDP
850 WATERMAN AVE
EAST PROVIDENCE, RI 02914-1729
Phone number: 401-434-4999