Individual
ALEXANDRIA MARIE GOBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAT, ATR-BC
Contact information
Practice address
590 PRE EMPTION RD, GENEVA, NY 14456-1372
(315) 209-4669
Mailing address
433 WILLIAM ST, GENEVA, NY 14456-2115
(315) 521-7025
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
002067
NY
221700000X
Art Therapist
Primary
002067
NY
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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