Doctor Name: | MS. DONNA L. GOCH |
NPI Number: | 1093958662 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, CAADC |
License Number: | C-00067 |
Business Practice Address: | 622 E Grand River Ave Howell, MI - 488432329 |
Business Phone Number: | 5175480081 |
Business Fax Number: | 5175480498 |
Mailing Address: | 622 E Grand River Ave, HOWELL |
State: | MI |
Postal Code: | 488432329 |
Phone Number: | 5175480081 |
Fax Number: | 5175480498 |
NPI Enumeration Date: | 04/13/2009 |
NPI Last Update Date: | 12/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | C-00067 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |