Individual provider · Type 1 NPI

Golda Ariel Gultom

Marriage & Family Therapist · Upland, CA

NPI number 1174290902 Active

Practice location

99 C St
Upland, CA 91786-6041

Call (909) 746-7423 Map

Mailing address

10808 Foothill Blvd Ste 160
Rancho Cucamonga, CA 91730-0601

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	None listed

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1174290902

Golda Ariel Gultom's National Provider Identifier is 1174290902, issued on Aug 28, 2021. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Upland, CA. The record was last updated on Feb 21, 2026.