Most Relevant Information
Provider Data
| NPI Number: | 1003448879 |
| Provider Name: | ASHLEY L ADDISON BA, LCDP, CCSP |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/10/2020 |
| Last Updated: | 02/10/2020 |
Provider Practice Location
530 N MAIN ST
PROVIDENCE
RI
029045762
Practice Location Phone/Fax
| Phone: | 4012764100 |
| Fax: |
Provider Mailing Location
95 STAMFORD AVE
PROVIDENCE
RI
029073737
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |