Individual
DANIELLE GOFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, C-DBT
Contact information
Practice address
2675 PARK AVE UNIT 29, BRIDGEPORT, CT 06604-1356
(724) 601-7222
Mailing address
2675 PARK AVE UNIT 29, BRIDGEPORT, CT 06604-1356
(724) 601-7222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
004431
CT
Other
Enumeration date
08/16/2020
Last updated
08/16/2020
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