Individual
GINA GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, M.S.
Contact information
Practice address
128 GARDEN ST, FARMINGTON, CT 06032-2254
(860) 716-5318
(860) 231-8006
Mailing address
128 GARDEN ST, FARMINGTON, CT 06032-2254
(860) 716-5318
(860) 231-8006
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
003036
CT
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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