Individual
DAVID GOFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3716 MELROSE AVE NW, ROANOKE, VA 24017-2716
(540) 362-0360
Mailing address
3716 MELROSE AVE NW, ROANOKE, VA 24017-2716
(540) 362-0360
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701010835
VA
101YM0800X
Mental Health Counselor
3399
CT
Other
Enumeration date
11/25/2019
Last updated
10/08/2021
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