Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Gregory Andersen Sr., BALCDP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1396141644

Mr. Gregory Andersen Sr., BALCDP is an Addiction (Substance Use Disorder) Counselor in Wakefield, Rhode Island. Practices as a sole proprietor. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2014

Practice location Address checks out

350 Columbia St
Wakefield, RI 02879-2494
Phone: (401) 789-0934
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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 CDP00478 (RI)

Record details

NPI number1396141644
Entity typeIndividual (Type 1)
GenderMale
Credentials BALCDP
Sole proprietorYes
NPI enumeratedNovember 14, 2014
Last updated in NPPESNovember 14, 2014
Mailing address30 Lakeside Dr, Charlestown, RI 02813-3143

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