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Susan Montaquilla, LMHC,LCDP
Addiction (Substance Use Disorder) Counselor in Cranston, Rhode Island
NPI 1366483125

Susan Montaquilla is an Addiction (Substance Use Disorder) Counselor based in Providence, RI and is specialized in Addiction (Substance Use Disorder). Susan Montaquilla practices in Cranston, RI and has the professional credentials of LMHC,LCDP. The NPI Number for Susan Montaquilla is 1366483125 and holds a License No. MHC00329 (Rhode Island).

The current practice location address for Susan Montaquilla is 111 Howard Ave Bldg 56, Cranston, RI and can be reached out via phone at 401-462-1021.

Location: 111 Howard Ave Bldg 56, Cranston, RI, 02904-5757
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Provider Profile Details
NPI Number
1366483125
Provider Name
Susan Montaquilla
Credential
LMHC,LCDP
Provider Entity Type
Individual
Gender
Female
Address
111 Howard Ave Bldg 56, Cranston, RI, 02904-5757
Phone Number
401-462-1021
Fax Number
Provider Enumeration Date
06/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
414072 01 RI BLUE CHIP
32427-4 01 RI BLUE CROSS
62-42464 01 RI UBH
SM55220 05 RI
1104847946 01 RI THE PROVIDENCE CENTER NPI
institution
Provider Business Practice Location Address Details
Address
111 Howard Ave Bldg 56
City
State
Zip
02920-3001
Phone Number
401-462-1021
Fax Number
person
Provider Business Mailing Address Details
Address
111 Howard Ave Bldg 56
City
State
Zip
02920-3001
Phone Number
401-462-1021
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LCDP00239 (Rhode Island)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MHC00329 (Rhode Island)
Definition
Definition to come...
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