Individual
MITCHELL GOHEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9 FORTUNA RD, SANTA FE, NM 87508-8395
(810) 941-7464
Mailing address
9 FORTUNA RD, SANTA FE, NM 87508-8395
(810) 941-7464
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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