Individual
MR. GREGORY GOULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSAA
Contact information
Practice address
4300 SILVER AVE SE, STE. F, ALBUQUERQUE, NM 87108-2748
(505) 255-1804
Mailing address
3402 SMITH AVE SE, APT B, ALBUQUERQUE, NM 87106-2559
(505) 715-7314
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0157661
NM
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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