Doctor Name: | JOHN MICHAEL GOLDEN |
NPI Number: | 1245688670 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.P.C., C.A.A.D.C. |
License Number: | PC007136 |
Business Practice Address: | 1084 E Lancaster Ave Suite 104 Bryn Mawr, PA - 190101515 |
Business Phone Number: | 2156200161 |
Business Fax Number: | |
Mailing Address: | 916 Highland Ave, PALMYRA |
State: | NJ |
Postal Code: | 080651927 |
Phone Number: | 2156200161 |
Fax Number: | |
NPI Enumeration Date: | 05/26/2016 |
NPI Last Update Date: | 05/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | PC007136 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |