Individual
CASEY GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
6 OLDE ORCHARD PARK APT 641, SOUTH BURLINGTON, VT 05403-6971
(802) 363-0001
Mailing address
31 MAIN ST, BURLINGTON, VT 05401-8407
(802) 363-0001
(802) 419-3829
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0091180
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022367
—
VT
Enumeration date
09/26/2013
Last updated
10/22/2021
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