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NPI Code Detail

MEDICARE: MRS. EMILY CATHERINE GOULD ATR-BC, LMHC

MEDICARE: MRS. EMILY CATHERINE GOULD ATR-BC, LMHC
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 Counselor8717MA
2221700000XArt Therapist06-020

General Provider Information

NPI Number : 1306191390
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EMILY CATHERINE GOULD ATR-BC, LMHC
Provider Business Mailing Address
First Line : 3 BLACKBURN CTR
Second Line :
City : GLOUCESTER
State : MA
Zip : 01930-2268
Country : US
Telephone Number : 978-283-7198
Fax Number : 978-281-7793
Provider Business Practice Location Address
First Line : 3 BLACKBURN CTR
Second Line :
City : GLOUCESTER
State : MA
Zip : 01930-2268
Country : US
Telephone Number : 978-283-7198
Fax Number : 978-281-7793
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2012
Last Update Date : 01/09/2025

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