Individual
DOMINIC GOULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
283 BUTLER RD, LEBANON, PA 17042-8939
(717) 659-9045
Mailing address
226 GREENLAND DR, LANCASTER, PA 17602-3300
(717) 659-9045
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC010804
PA
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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