Katrina M Wilcox, LCDP
Katrina M Wilcox, LCDP is an Undefined Non-Physician Type (Specify) in East Providence, Rhode Island. Qualified in 2002, 24 years ago. Licensed in Rhode Island.
- Years since qualifying
- 24
- Licensed in
- RI
- In the registry since
- 2010
Practice location Address checks out
900 Warren Ave Ste 401East Providence, RI 02914-1430
Phone: (401) 421-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence CDP00481 (RI) |
|---|
Record details
| NPI number | 1851604029 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCDP |
| Sole proprietor | No |
| NPI enumerated | July 16, 2010 |
| Last updated in NPPES | June 3, 2024 |
| Certification date | June 3, 2024 |
| Mailing address | 900 Warren Ave Ste 401, East Providence, RI 02914-1430 |
Medicare enrollment
| Medicare specialty | UNDEFINED NON-PHYSICIAN TYPE (SPECIFY) |
|---|---|
| Medical school | OTHER |
| Graduated | 2002 (24 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in East Providence
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Kristina Marie Micheli, MA
850 Waterman Ave, East Providence, RI 02914-1729 · (401) 442-1587
-
Marla K Pasqua
850 Waterman Ave, East Providence, RI 02914-1729 · (401) 434-0459
-
Lindsay Anne Potts
83 Hall St, East Providence, RI 02914 · (401) 390-9075
-
Mr. Kenneth Arnold Weeden Jr., LCDP, CCDPD
610 Wampanoag Trl, East Providence, RI 02915-1504 · (401) 431-9870