Individual
AMY CAROL GOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA; LMFT
Contact information
Practice address
1409 WILLOW ST, SUITE 600, MINNEAPOLIS, MN 55403-2269
(612) 872-2343
(360) 233-0649
Mailing address
1409 WILLOW ST, SUITE 600, MINNEAPOLIS, MN 55403-2269
(612) 872-2343
(360) 233-0649
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT1146
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M488355100
MEDICAL ASSISSTANCE
MN
Enumeration date
03/18/2009
Last updated
04/03/2014
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