Individual
ANDREA MARIA GOLDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
7171 161ST ST, FRESH MEADOWS, NY 11365-4638
(516) 732-3609
Mailing address
7171 161ST ST, FRESH MEADOWS, NY 11365-4638
(516) 732-3609
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
R043050-1
NY
101YP2500X
Professional Counselor
R043050-1
NY
103K00000X
Behavior Analyst
R043050-1
NY
1041C0700X
Clinical Social Worker
Primary
R043050-1
NY
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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