| Doctor Name: | LEE ANTHONY DALPHONSE |
| NPI Number: | 1265458541 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMHC, LCDS, ICCDP-D |
| License Number: | CDS00011 |
| Business Practice Address: | 52 Oak St Middleboro, MA - 023462078 |
| Business Phone Number: | 7742138344 |
| Business Fax Number: | |
| Mailing Address: | 33 College Hill Rd Ste 30e, WARWICK |
| State: | RI |
| Postal Code: | 028862767 |
| Phone Number: | 4018216070 |
| Fax Number: | 4018216047 |
| NPI Enumeration Date: | 07/13/2006 |
| NPI Last Update Date: | 03/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | CDS00011 |
| 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: | |