Organization
NICOLE GOOLSBY, LICENSED MARRIAGE AND FAMILY THERAPIST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE GOOLSBY (LMFT/OWNER)
(909) 206-4453
Entity
Organization
Contact information
Practice address
219 N INDIAN HILL BLVD STE 102, CLAREMONT, CA 91711-4644
(909) 206-4453
Mailing address
PO BOX 9266, RANCHO CUCAMONGA, CA 91701-8266
(909) 206-4453
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/15/2019
Last updated
05/21/2020
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