Casey Goldman, Lcmhc
Counselor, Mental Health in South Burlington, VT. Organization (NPI-2).
NPI number1962166322
StatusActive
Last updated in NPPESOct 22, 2021
Details
- NPI
- 1962166322
- Entity type
- Organization (NPI-2)
- Legal business name
- Casey Goldman, Lcmhc
- Organization subpart
- No
- Enumeration date
- Oct 22, 2021
- Certification date
- Oct 22, 2021
- Last updated
- Oct 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Other names
- Casey Goldman, Lcmhc (Doing Business As)
Practice location
6 Olde Orchard Park Apt 641South Burlington, VT 05403-6971
Phone 802-363-0001
Mailing address
489 Ethan Allen PkwyBurlington, VT 05408-1002
Phone 802-363-0001
Authorized official
Casey Goldman
Provider
8023630001
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