LUIS ANTHONY ESCOBAR

PROVIDENCE, RI
NPI1568153146
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: RI  CDP00938)
Enumeration Date2023-05-16
Last Update Date2023-05-16
Business Address
LUIS ANTHONY ESCOBAR CADC, LCDP
66 BURNETT ST
PROVIDENCE, RI 02907-2527
Phone number: 401-433-8336
Mailing Address
LUIS ANTHONY ESCOBAR CADC, LCDP
311 MAYFIELD AVE
CRANSTON, RI 02920-2947
Phone number: 401-433-8336
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