Individual
COURTNEY NICOLE GOOLSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5268 GODWIN BLVD, SUFFOLK, VA 23434-8114
(757) 255-7117
(757) 255-7139
Mailing address
310 WILDLIFE TRCE, CHESAPEAKE, VA 23320-7014
(904) 449-6185
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007081
VA
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
11/27/2013
Last updated
04/13/2017
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