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NPI Code Detail

MEDICARE: COREEN GOLAN

MEDICARE: COREEN GOLAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor87548TX

General Provider Information

NPI Number : 1841943925
Entity Type Code : Individual
Provider Name (Legal Business Name) : COREEN GOLAN
Provider Business Mailing Address
First Line : 1404 ALLSTON ST
Second Line :
City : HOUSTON
State : TX
Zip : 77008-4208
Country : US
Telephone Number : 281-783-9297
Fax Number :
Provider Business Practice Location Address
First Line : 1404 ALLSTON ST
Second Line :
City : HOUSTON
State : TX
Zip : 77008-4208
Country : US
Telephone Number : 281-783-9297
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2022
Last Update Date : 01/30/2022

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Directions to “ COREEN GOLAN ” Practice Location

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