MR. GREGORY ANDERSEN BA LCDP NPI 1396141644

NPI Information

NPI: 1396141644
Provider Name: MR. GREGORY ANDERSEN, BA LCDP
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
350 COLUMBIA ST
WAKEFIELD, RI
ZIP 02879
Phone: (401) 789-0934
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MR. Gregory Andersen, BA LCDP is an addiction (substance use disorder) counselor in Wakefield, RI. MR. Gregory Andersen, BA LCDP NPI is 1396141644. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

350 COLUMBIA ST
WAKEFIELD, RI
ZIP 02879-494
Phone: (401) 789-0934

The enumeration date for this NPI number is 11/14/2014 and was last updated on 11/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CDP00478	RHODE ISLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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