Individual
MS. BENINA GOULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
822 DELAWARE ST, BERKELEY, CA 94710-2068
(510) 548-1775
Mailing address
1200 KEITH AVE, BERKELEY, CA 94708-1600
(510) 841-4250
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9766
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9766
SOCIAL WORK LICENSE
CA
Enumeration date
10/18/2006
Last updated
07/08/2007
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