Tina Wambolt, LCDP
NPI #1881189165 in Woonsocket, Rhode Island
Provider Information
- NPI Number
- 1881189165
- Entity Type
- Individual
- Name
- Tina Wambolt, LCDP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LCDP
- Enumeration Date
- Jun 28, 2018
- Last Updated
- Jun 28, 2018
Practice Location
- Address
- 55 CUMMINGS WAY
- City
- Woonsocket
- State
- Rhode Island
- ZIP Code
- 02895-3247
- Phone
- (401) 235-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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