ETHAN M. BARRETT

PROVIDENCE, RI
NPI1942546403
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI  CDP00541)
Enumeration Date2013-01-02
Last Update Date2013-01-02
Business Address
-- ETHAN M. BARRETT LCDP
530 N MAIN ST
PROVIDENCE, RI 02904-5762
Phone number: 401-274-2500
Mailing Address
-- ETHAN M. BARRETT LCDP
528 N MAIN ST
PROVIDENCE, RI 02904-5757
Phone number: