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NPI Code Detail

MEDICARE: ALISHA CHOQUETTE AA, ACDP

MEDICARE: ALISHA CHOQUETTE AA, ACDP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorLC9327ME

General Provider Information

NPI Number : 1003268517
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISHA CHOQUETTE AA, ACDP
Provider Business Mailing Address
First Line : 66 BURNETT ST
Second Line :
City : PROVIDENCE
State : RI
Zip : 02907-2527
Country : US
Telephone Number : 401-785-0050
Fax Number : 401-941-0089
Provider Business Practice Location Address
First Line : 11 NORTH ST
Second Line :
City : PRESQUE ISLE
State : ME
Zip : 04769-2296
Country : US
Telephone Number : 207-707-3001
Fax Number : 207-707-3000
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2016
Last Update Date : 03/17/2026

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