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Individual
KEREN GOTT
Active
Individual
KEREN GOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, MHP, CDPT
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60142482
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60210911
WA
101YM0800X
Mental Health Counselor
CG60142482
WA
Other
Enumeration date
01/04/2012
Last updated
12/28/2016
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