Individual
ELISSA GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATR-BC, L-CAT
Contact information
Practice address
3557 PERCY ST APT 3, LOS ANGELES, CA 90023-1736
(607) 316-9681
Mailing address
3557 PERCY ST APT 3, LOS ANGELES, CA 90023-1736
(607) 316-9681
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
002390-01
NY
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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