Individual
MS. ELLEN THERESA GOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1234 INDIANA ST, SAN FRANCISCO, CA 94107-3406
(415) 282-9675
Mailing address
3753 HIGH ST, OAKLAND, CA 94619-2107
(510) 531-0843
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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