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Individual

MS. ELLEN C GOLDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
27 HARTFORD TPKE, SUITE 204, VERNON, CT 06066-5245
(860) 647-1875
(860) 533-1070
Mailing address
19 TIFFANY DR, WINDSOR, CT 06095-2471
(860) 688-8027

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
004577
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
140004577CT1
ANTHEM
CT
01
163533
V.O.
CT
01
6266374
UBH
CT
01
6266375
UBH
CT
01
7407502
AETNA
CT
Enumeration date
02/22/2007
Last updated
07/09/2007
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