Individual
GINA MARIE GOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED,CAC,LPC
Contact information
Practice address
401 SHADY AVE, 104 B, PITTSBURGH, PA 15206-4409
(412) 361-8020
Mailing address
102 EVANDALE DR, PITTSBURGH, PA 15220-2813
(412) 361-8020
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC000946
PA
Other
Enumeration date
12/04/2006
Last updated
12/01/2016
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