Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1245851567 |
---|---|
Provider Name | Arthur Brouillette |
First Address | Narragansett, RI 02882-2806 |
Second Address | Narragansett, RI 02882-2806 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2020 |
Last Update Date | 27/04/2020 |