Most Relevant Information
Provider Data
| NPI Number: | 1003268517 |
| Provider Name: | ALISHA CHOQUETTE AA, ACDP |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/08/2016 |
| Last Updated: | 07/08/2016 |
Provider Practice Location
66 BURNETT ST
PROVIDENCE
RI
029072527
Practice Location Phone/Fax
| Phone: | 4017850050 |
| Fax: | 4019410089 |
Provider Mailing Location
66 BURNETT ST
PROVIDENCE
RI
029072527
Provider Mailing Phone/Fax
| Phone: | 4017850050 |
| Fax: | 4019410089 |