Individual provider · Type 1 NPI

Tina Wambolt, LCDP

Addiction (Substance Use Disorder) Counselor · Woonsocket, RI

NPI number 1881189165 Active

Practice location

55 Cummings Way
Woonsocket, RI 02895-3247

Call (401) 235-7000 Map

Mailing address

PO Box 1700
Woonsocket, RI 02895-0856

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDP00741 (RI)

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

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About NPI 1881189165

Tina Wambolt, LCDP's National Provider Identifier is 1881189165, issued on Jun 28, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Woonsocket, RI. The record was last updated on Jun 28, 2018.