Individual
MORGAN BRAME GOFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
403 S HAWTHORNE RD, WINSTON SALEM, NC 27103-3784
(336) 716-0800
(336) 716-0822
Mailing address
PO BOX 571097, WINSTON SALEM, NC 27157-1097
(336) 716-0800
(336) 716-0822
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11448
NC
101YP2500X
Professional Counselor
A11448
NC
Other
Enumeration date
07/11/2016
Last updated
03/22/2019
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