DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROOSEVELT DALE

Active Sole Proprietor

Addiction (Substance Use Disorder) Counselor · JOHNSTON, RI

Registration Details

NPI Number
1962375477
Provider Type
Individual
Gender
Male
NPI Issued
Sep 29, 2025 (0.56123917266511 yrs)
Last Updated
Dec 25, 2025
Licenses
CDP01081 (RI)
201835 (RI)
Sole Proprietor
Yes

Practice Information

Address
806 GREENVILLE AVE
JOHNSTON, RI, 029191305
Browse RI providers · Browse ZIP 02919
Phone
4015161314
Additional Specialty
Community Health Worker

Other Addiction (Substance Use Disorder) Counselor Providers in JOHNSTON, RI

Name Credential NPI
CHERYL ROCCIO LCDP 1376790592
JESSY MOYER LCDP 1730337585
DENISE AGUIAR LCDP 1285886200
KEVIN KRETCHMAN LCDP, LCDS 1699911636
DAVID TESTONI 1750787503
STEPHANIE VIOLA HARRINGTON LCDP 1801341672
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.