Individual
ELIZABETH GOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADACII
Contact information
Practice address
2566 SUNDAY SILENCE CT, BURLINGTON, KY 41005-9124
(513) 275-8678
Mailing address
2566 SUNDAY SILENCE CT, BURLINGTON, KY 41005-9124
(513) 275-8678
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C2-51225
IN
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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