Kim Marie Gonzaga, LCDP
NPI #1215738265 in Charlestown, Rhode Island
Provider Information
- NPI Number
- 1215738265
- Entity Type
- Individual
- Name
- Kim Marie Gonzaga, LCDP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LCDP
- Enumeration Date
- Mar 24, 2025
- Last Updated
- May 16, 2025
Practice Location
- Address
- 4705 OLD POST RD
- City
- Charlestown
- State
- Rhode Island
- ZIP Code
- 02813-1841
- Phone
- (401) 364-7705
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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