Individual provider · Type 1 NPI

Bryan Gouge, MA

Mental Health Counselor · Media, PA

NPI number 1225354533 Active

Practice location

107 Chesley Dr, Unit 5
Media, PA 19063-1760

Fax (610) 566-1669

Mailing address

1440 Russell Rd
Paoli, PA 19301-1236

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1225354533

Bryan Gouge, MA's National Provider Identifier is 1225354533, issued on Apr 12, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Media, PA. The record was last updated on Apr 12, 2010.