| Doctor Name: | MR. ALAN L. MINKIN |
| NPI Number: | 1073560728 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMHC, LCDCS |
| License Number: | LCDCS00005 |
| Business Practice Address: | 75 Seapowet Ave Tiverton, RI - 028784815 |
| Business Phone Number: | 4016243703 |
| Business Fax Number: | |
| Mailing Address: | 75 Seapowet Ave, TIVERTON |
| State: | RI |
| Postal Code: | 028784815 |
| Phone Number: | 4016243703 |
| Fax Number: | |
| NPI Enumeration Date: | 05/28/2006 |
| NPI Last Update Date: | 03/24/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | LCDCS00005 |
| 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: | |