Individual
BARBARA GOLD MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1180 BEACON ST, SUITE 4B, BROOKLINE, MA 02446-3885
(617) 277-2449
(617) 731-9114
Mailing address
1180 BEACON STREET, SUITE 4B, BROOKLINE, MA 02446-3885
(617) 277-2449
(617) 731-9114
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1021149
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009855
HARVARD PILGRIM
MA
05
—
110082452A
—
MA
01
—
161793
TRICARE
MA
01
—
236287979
UNITED BEHAVIORAL HEALTH
MA
01
—
365476
MAGELLAN BEHAVIORAL HEALT
MA
01
—
P-06-318
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/20/2006
Last updated
01/11/2012
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