Richard Russell Provencial, CAC II is an addiction (substance use disorder) counselor in Littleton, CO. Richard Russell Provencial, CAC II NPI is 1538790134. 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:
5360 S ELATI ST APT 6
LITTLETON, CO
ZIP 80120-527
Phone: (720) 249-8862
The enumeration date for this NPI number is 2/1/2020 and was last updated on 2/1/2020.