| Doctor Name: | CAROL ANN REINERT |
| NPI Number: | 1053467936 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCDP |
| License Number: | LCDP00064 |
| Business Practice Address: | 650 Ten Rod Rd Unit 13 North Kingstown, RI - 028524238 |
| Business Phone Number: | 4013311350 |
| Business Fax Number: | 4012773366 |
| Mailing Address: | 1274 Middlebridge Rd, WAKEFIELD |
| State: | RI |
| Postal Code: | 028797149 |
| Phone Number: | 4013311350 |
| Fax Number: | 4012773366 |
| NPI Enumeration Date: | 01/25/2007 |
| NPI Last Update Date: | 10/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | LCDP00064 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | RI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |