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Contact Information

JEFFREY A DUCLOS, LCDP
58 E MAIN RD
MIDDLETOWN, RI02842-4988
 Phone: 401-608-3322
 Fax: 401-608-3323
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for JEFFREY A DUCLOS · (Male)

NPI # 1649930538
Status Active
Credentials LCDP
Entity Individual
Enumeration date 12/20/2021
Last updated 12/20/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • RI License # CDP00640
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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