Organization
RIMMA GOFMAN, MA LMFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE CULLEN (BILLING)
(203) 368-5515
Entity
Organization
Contact information
Practice address
39 SHERMAN CT, FAIRFIELD, CT 06824-5852
(203) 257-3140
(203) 368-9167
Mailing address
385 LOCKWOOD RD, FAIRFIELD, CT 06825-2650
(203) 257-3140
(203) 368-9167
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001778
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004069985
—
CT
Enumeration date
01/28/2016
Last updated
01/28/2016
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