Individual
MRS. KATHERINE ANN GOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
49 WHITEHALL AVE, MYSTIC, CT 06355-1966
(860) 961-5702
Mailing address
117 N STONINGTON RD, MYSTIC, CT 06355-3608
(860) 614-3548
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
3536
CT
Other
Enumeration date
11/23/2011
Last updated
04/08/2019
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