Individual provider · Type 1 NPI
Maurina Wilson, LCDP, LADC, CADC
Addiction (Substance Use Disorder) Counselor · Providence, RI
NPI number
1700747227
Active
Practice location
154 Waterman St Ste 10
Providence, RI 02906-3116
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CDP00950 (RI) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 22905 (RI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1700747227
Maurina Wilson, LCDP, LADC, CADC's National Provider Identifier is 1700747227, issued on Nov 24, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Providence, RI. The record was last updated on Jan 8, 2026.