Individual
ALYSON GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 N CENTRAL AVE STE 310, GLENDALE, CA 91202-2937
(818) 724-9770
(818) 484-2991
Mailing address
239 E MONTANA ST, PASADENA, CA 91104-1059
(818) 421-8277
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
105158
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6758
—
CA
05
—
7068
—
CA
05
—
7420
—
CA
Enumeration date
08/11/2014
Last updated
11/21/2018
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