Active NPIIndividual provider

Mr. Kenneth A Weeden Jr., LCDP, CCDPD

Counselor, Addiction (Substance Use Disorder) in East Providence, Rhode Island

NPI Number1558319731
Practice location
610 Wampanoag Trl, East Providence, RI 02915-1504
Fax
401-438-1957
Last updated
January 13, 2010

Kenneth Arnold Weeden is a Counselor, Addiction (Substance Use Disorder) based in East Providence, RI. Kenneth Arnold Weeden practices in East Providence, RI and has the professional credentials of LCDP, CCDPD. The NPI Number for Kenneth Arnold Weeden is 1558319731 and holds a License No. CDP00467 (RI). The current practice location address for Kenneth Arnold Weeden is 610 Wampanoag Trl, East Providence, RI 02915-1504 and can be reached out via phone at 401-431-9870 and via fax at 401-438-1957.

Provider Profile Details

NPI Number
1558319731
Provider Name
Kenneth Arnold Weeden
Credential
LCDP, CCDPD
Provider Entity Type
Individual
Gender
Male
Address
610 Wampanoag Trl, East Providence, RI 02915-1504
Phone Number
401-431-9870
Fax Number
401-438-1957
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
May 4, 2006
Last Update Date
January 13, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
610 Wampanoag Trl
East Providence, RI 02915-1504
Zip
02915-1504
Phone Number
401-431-9870
Fax Number
401-438-1957
East Providence, RI 02915Get directions →

Provider Business Mailing Address Details

Address
610 Wampanoag Trl
Riverside, RI 02915-1504
City
Riverside
State
RI
Zip
02915-1504
Phone Number
401-431-9870
Fax Number
401-438-1957

License Information

License Number
CDP00467
License State
RI
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Kenneth A Weeden Jr., LCDP, CCDPD?

The NPI number of Mr. Kenneth A Weeden Jr., LCDP, CCDPD is 1558319731. It was assigned on May 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Kenneth A Weeden Jr., LCDP, CCDPD?

Mr. Kenneth A Weeden Jr., LCDP, CCDPD is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in RI under license number CDP00467.

Where does Mr. Kenneth A Weeden Jr., LCDP, CCDPD practice?

The practice location is 610 Wampanoag Trl, East Providence, RI 02915-1504. The office can be reached at 401-431-9870 (phone) or 401-438-1957 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558319731 directly on the NPPES registry website.

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