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Individual
TIMOTHY D. GOULD
Active
Individual
TIMOTHY D. GOULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
002646
MO
101YP2500X
Professional Counselor
Primary
CS002646
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100387
VETERANS ADMINISTRATION
MO
01
—
11-3764474
MAGELLAN
MO
01
—
156007
BLUE CROSS BLUE SHIELD
—
05
—
311575142
—
MO
01
—
420291
HEALTHLINK/FREEDOM
—
01
—
431823864
MISSOURI ALLIANCE
MO
01
—
431823864
CORPHEALTH
—
05
—
493840714
—
MO
01
—
49906211
EPOCH
—
Enumeration date
05/18/2006
Last updated
12/14/2022
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