Individual
KATIE RENEE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDP
Contact information
Practice address
110 ELMWOOD AVE, PROVIDENCE, RI 02907-2423
(401) 545-5433
Mailing address
110 ELMWOOD AVE, PROVIDENCE, RI 02907-2423
(401) 545-5433
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP01075
RI
Other
Enumeration date
12/03/2025
Last updated
01/11/2026
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