Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kim Marie Gonzaga, LCDP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1215738265

Kim Marie Gonzaga, LCDP is an Addiction (Substance Use Disorder) Counselor in Charlestown, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2025.

Licensed in
RI
In the registry since
2025

Practice location Address checks out

4705 Old Post Rd
Charlestown, RI 02813-1841
Phone: (401) 364-7705
Fax: (401) 364-1982
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDP01032 (RI)

Record details

NPI number1215738265
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials LCDP
Sole proprietorNo
NPI enumeratedMarch 24, 2025
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025

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