| Doctor Name: | CARL GOLDEN |
| NPI Number: | 1083862163 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMHC |
| License Number: | LH 60580777 |
| Business Practice Address: | 6016 Ne Bothell Way Ste G Kenmore, WA - 980289403 |
| Business Phone Number: | 4252194325 |
| Business Fax Number: | 4258922548 |
| Mailing Address: | 6016 Ne Bothell Way, Ste G KENMORE |
| State: | WA |
| Postal Code: | 980289403 |
| Phone Number: | 4252194325 |
| Fax Number: | 4258922548 |
| NPI Enumeration Date: | 09/03/2008 |
| NPI Last Update Date: | 11/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LH 60580777 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |