Individual provider · Type 1 NPI

Kim Marie Gonzaga, LCDP

Addiction (Substance Use Disorder) Counselor · Charlestown, RI

NPI number 1215738265 Active

Practice location

4705 Old Post Rd
Charlestown, RI 02813-1841

Call (401) 364-7705 Map

Fax (401) 364-1982

Mailing address

117 Ellenfield St Ste 101
Providence, RI 02905-4541

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDP01032 (RI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

17 other providers at this address

Other addiction (substance use disorder) counselor providers in Charlestown

See all in Charlestown →

About NPI 1215738265

Kim Marie Gonzaga, LCDP's National Provider Identifier is 1215738265, issued on Mar 24, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Charlestown, RI. The record was last updated on May 16, 2025.