Individual provider · Type 1 NPI

Blondene Patrice Goulbourne, LAC

Mental Health Counselor · Union, NJ

NPI number 1205655180 Active

Practice location

1053 Overlook Ter
Union, NJ 07083-3607

Call (718) 208-3959 Map

Mailing address

58 Garibaldi Ave
Lodi, NJ 07644-1806

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X37AC00767200 (NJ)

Mental Health Counselor: Definition to come...

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About NPI 1205655180

Blondene Patrice Goulbourne, LAC's National Provider Identifier is 1205655180, issued on Oct 7, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Union, NJ. The record was last updated on Oct 7, 2024.