ROOSEVELT DALE
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1962375477
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | CDP01081 (RI) |
| Community Health Worker | 172V00000X | No | 201835 (RI) |
Frequently Asked Questions
NPI 1962375477 is the National Provider Identifier for ROOSEVELT DALE, a Counselor - Addiction (Substance Use Disorder) provider located in Johnston, RI. This NPI was enumerated on September 29, 2025.
ROOSEVELT DALE practices at 806 GREENVILLE AVE, Johnston, RI 02919.
Quick Facts
- NPI
- 1962375477
- Type
- Individual
- Enumerated
- Sep 29, 2025
- Last Updated
- Dec 25, 2025
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