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

Theresa Mamie Charles I

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1255769576

Theresa Mamie Charles I is an Addiction (Substance Use Disorder) Counselor in Groton, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2013
Specialties on file
2

Practice location Address checks out

542 Longhill Rd
Groton, CT 06340
Phone: (866) 448-4993
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 060886125 (CT)
Mental Health Counselor Taxonomy 101YM0800X · Licence 060886125

Record details

NPI number1255769576
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 23, 2013
Last updated in NPPESOctober 23, 2013

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