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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1700747227

Maurina Wilson, LCDP, LADC, CADC is an Addiction (Substance Use Disorder) Counselor in Providence, Rhode Island. Practices as a sole proprietor. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2025
Specialties on file
2
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.
CADC — Certified Alcohol and Drug Counselor
A certified addiction counsellor.

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Practice location Address checks out

154 Waterman St Ste 10
Providence, RI 02906-3116
Phone: (774) 708-0310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDP00950 (RI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 22905 (RI)

Record details

NPI number1700747227
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCDP , LADC , CADC
Sole proprietorYes
NPI enumeratedNovember 24, 2025
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026

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