Provider Demographics
NPI:1316063829
Name:MARRERO, DIGNA (LCDP, RCS)
Entity type:Individual
Prefix:MS
First Name:DIGNA
Middle Name:
Last Name:MARRERO
Suffix:
Gender:F
Credentials:LCDP, RCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1685 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02905-2734
Mailing Address - Country:US
Mailing Address - Phone:401-272-1006
Mailing Address - Fax:401-273-3835
Practice Address - Street 1:16 BORINQUEN ST
Practice Address - Street 2:662 HARTFORD AVE.
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02905-3202
Practice Address - Country:US
Practice Address - Phone:401-272-0660
Practice Address - Fax:401-454-0195
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)