Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | CDP00469 | RI |
NPI | 1003168261 |
---|---|
Provider Name | Ms. Megan Mcphee Garner |
First Address | Woonsocket, RI 02895-1771 |
Second Address | Woonsocket, RI 02895-1771 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2012 |
Last Update Date | 11/10/2012 |