Individual provider · Type 1 NPI

Mackenzie Martin, LCDP

Addiction (Substance Use Disorder) Counselor · Warwick, RI

NPI number 1972433753 Active

Practice location

390 Toll Gate Rd Ste 206
Warwick, RI 02886-4351

Fax (401) 400-7250

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDP01061 (RI)

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

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About NPI 1972433753

Mackenzie Martin, LCDP's National Provider Identifier is 1972433753, issued on May 21, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Warwick, RI. The record was last updated on Sep 20, 2026.