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Lee M Bradshaw, LCDP
Addiction (Substance Use Disorder) Counselor in Providence, Rhode Island
NPI 1528072279

Lee M Bradshaw is an Addiction (Substance Use Disorder) Counselor based in Providence, RI and is specialized in Addiction (Substance Use Disorder). Lee M Bradshaw practices in Providence, RI and has the professional credentials of LCDP. The NPI Number for Lee M Bradshaw is 1528072279 and holds a License No. LCDP00093 (Rhode Island).

The current practice location address for Lee M Bradshaw is 530 N Main St, Providence, RI and can be reached out via phone at 401-274-2500. You can also correspond with Lee M Bradshaw through the mailing address at 528 N MAIN ST, PROVIDENCE, RI - 02904-5757 (mailing address contact number: ).

Location: 530 N Main St, Providence, RI, 02904-5757
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Provider Profile Details
NPI Number
1528072279
Provider Name
Lee M Bradshaw
Credential
LCDP
Provider Entity Type
Individual
Gender
Female
Address
530 N Main St, Providence, RI, 02904-5757
Phone Number
401-274-2500
Fax Number
Provider Enumeration Date
07/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1104847946 01 RI THE PROVIDENCE CENTER NPI
23770-3 01 RI BLUE CROSS
62-55385 01 RI UNITED BEHAVIORAL HEALTH
410282 01 RI BLUE CHIP
LB48952 05 RI
institution
Provider Business Practice Location Address Details
Address
530 N Main St
City
State
Zip
02904-5762
Phone Number
401-274-2500
Fax Number
person
Provider Business Mailing Address Details
Address
530 N Main St
City
State
Zip
02904-5762
Phone Number
401-274-2500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LCDP00093 (Rhode Island)
Definition
Definition to come...
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