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Individual

ANDREW GOLDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LPC

Contact information

Practice address
666 GLENBROOK RD, STAMFORD, CT 06906-1439
(203) 571-4985
Mailing address
6122 AVALON DR E, NEW CANAAN, CT 06840-5966

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary
000818
CT

Other

Enumeration date
09/19/2018
Last updated
06/03/2019
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