MARCEL A TRISVAN

PROVIDENCE, RI
NPI1780805283
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI  LCDP-352)
Enumeration Date2007-05-01
Last Update Date2007-07-08
Business Address
Mr. MARCEL A TRISVAN LCDP
CODAC PROVIDENCE 349 HUNTINGTON AVE
PROVIDENCE, RI 02909
Phone number: 401-942-1450
Mailing Address
Mr. MARCEL A TRISVAN LCDP
31 NELLIE ST
PROVIDENCE, RI 02904
Phone number: 401-270-0000
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