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Individual

CATHY SUE GOULET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
495 ERLANGER RD, SUITE 204, ERLANGER, KY 41018-1468
(859) 342-6444
(859) 342-0999
Mailing address
3820 GREGORY LN, ERLANGER, KY 41018-3817
(859) 907-2939
(859) 342-0999

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0841
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
184607
MEDICARE GROUP NUMBER
KY
01
611371217
PRIVATE PRACTICE TAX ID #
KY
Enumeration date
05/11/2006
Last updated
11/21/2008
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