Individual
MISS LISA B GOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
239 NICHOLS ST, FAIRFIELD, CT 06824-5850
(561) 929-2280
Mailing address
239 NICHOLS ST, FAIRFIELD, CT 06824-5850
(561) 929-2280
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/15/2013
Last updated
04/15/2013
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