Organization Name: | GOULET COUNSELING PSC |
NPI Number: | 1063667871 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CATHY GOULET (OWNER) |
Mailing Address: | 495 Erlanger Rd Suite 204 Erlanger |
State: | KY US |
Postal Code: | 410181468 |
Phone Number: | 8593426444 |
Fax Number: | |
NPI Enumeration Date: | 11/20/2008 |
NPI Last Update Date: | 11/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | KY0841 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |