Individual
MS. INA R GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
201 MAIN ST, AUBURN, ME 04210-5800
(207) 657-3428
Mailing address
201 MAIN ST, AUBURN, ME 04210-5800
(207) 657-3428
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC1402
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211440200
—
ME
Enumeration date
05/10/2009
Last updated
05/10/2009
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