Individual
ANTHONY GOUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PPS
Contact information
Practice address
4600 BLACKROCK DR, SACRAMENTO, CA 95835-1250
(916) 928-5353
Mailing address
PO BOX 19055, SACRAMENTO, CA 95819-0055
(916) 821-4645
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
220002073
CA
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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