MR. David Jon Medeiros, LICSW is a mental health counselor in Providence, RI. MR. David Jon Medeiros, LICSW NPI is 1336204072. 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:
173 WATERMAN ST
PROVIDENCE, RI
ZIP 02906-919
Phone: (401) 743-1214
The enumeration date for this NPI number is 12/22/2006 and was last updated on 7/8/2007.