Individual provider · Type 1 NPI
Ellen Gold, MPS, BCDMT, LPC
Professional Counselor · Oakton, VA
NPI number
1194078568
Active
Practice location
11726 Lariat Lanee
Oakton, VA 22124
Mailing address
11726 Lariat Ln
Oakton, VA 22124-2323
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 37PC00234600 (NJ) |
Professional Counselor: Definition to come...
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About NPI 1194078568
Ellen Gold, MPS, BCDMT, LPC's National Provider Identifier is 1194078568, issued on Oct 22, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Oakton, VA. The record was last updated on Oct 22, 2012.