Individual
ANDREW GOLIBERSUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
19 CENTER CT STE 1B, NORTHAMPTON, MA 01060-3503
(413) 376-8002
Mailing address
19 CENTER CT STE 1B, NORTHAMPTON, MA 01060-3503
(413) 376-8002
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMHC10001098
MA
221700000X
Art Therapist
21-446
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21-446
ART THERAPY CREDENTIALS BOARD
—
01
—
BC-TMH-3909
NATIONAL BOARD OF CERTIFIED COUNSELORS
—
01
—
LMHC10001098
BOARD OF ALLIED MENTAL HEALTH AND HUMAN SERVICES PROFESSIONS
MA
Enumeration date
08/20/2020
Last updated
08/20/2024
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