Individual
MR. DAVID E GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDP,RCS
Contact information
Practice address
2076 WALLUM LAKE RD., BURRILLVILLE, RI 02859-1813
(401) 568-1770
(401) 568-3358
Mailing address
2076 WALLUM LAKE RD., PO BOX 398, BURRILLVILLE, RI 02859-1813
(401) 568-1770
(401) 568-3358
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDP 00416
RI
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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