Individual
REBECCA GOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1308 N MAIN ST, CROWN POINT, IN 46307-2719
(219) 281-2799
Mailing address
3701 LAKE ONTARIO DR APT 205, VALPARAISO, IN 46383-6748
(219) 508-8805
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88000800A
IN
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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