# ELIZABETH GOULD, MARRIAGE & FAMILY THERAPIST, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114115540
- **Authorized official:** ELIZABETH GOULD M.A., M.F.T. (OWNER)
- **Authorized official phone:** (310) 578-5957

## Contact information

- **Practice address:** 4170 ADMIRALTY WAY, SUITE 405, MARINA DEL REY, CA 90292-4618
- **Practice address phone:** (310) 578-5957
- **Practice address fax:** (310) 827-2294
- **Mailing address:** 4170 ADMIRALTY WAY, SUITE 405, MARINA DEL REY, CA 90292-4618
- **Mailing address phone:** (310) 578-5957
- **Mailing address fax:** (310) 827-2294

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MFC32388 | CA | Yes |

## Other

- **Enumeration date:** 10/10/2007
- **Last updated:** 05/11/2011
