Individual provider · Type 1 NPI
R. Ilise Gold, LPC
Mental Health Counselor · Westport, CT
NPI number
1386078335
Active
Practice location
One Turkey Hill Road South, Suite D
Westport, CT 06880
Fax (203) 221-7167
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 000329 (CT) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1386078335
R. Ilise Gold, LPC's National Provider Identifier is 1386078335, issued on Aug 27, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Westport, CT. The record was last updated on Aug 27, 2013.