Individual
CORY GOULDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPC
Contact information
Practice address
504 N HEWITT DR STE 2, HEWITT, TX 76643-3173
(254) 600-9896
Mailing address
115 NEW ACRES DR, HEWITT, TX 76643-3228
(254) 600-9896
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
80831
TX
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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