Individual
MS. STEPHANIE ALICE GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED.,LCMHC
Contact information
Practice address
25 W MAIN ST, CONWAY, NH 03818-6142
(603) 447-2111
Mailing address
POST OFFICE BOX 316, BETHLEHEM, NH 03574-6837
(603) 991-8828
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
541
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30427904
—
NH
Enumeration date
02/02/2007
Last updated
09/01/2010
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