Individual provider · Type 1 NPI

Kerry Renjilian Gough, LPCC, LMHC

Mental Health Counselor · Somerville, MA

NPI number 1447599444 Active

Practice location

111 South St
Somerville, MA 02143-4297

Mailing address

674 County Square Dr Ste 106E
Ventura, CA 93003-0439

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1447599444

Kerry Renjilian Gough, LPCC, LMHC's National Provider Identifier is 1447599444, issued on Feb 11, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Somerville, MA. The record was last updated on Jan 14, 2019.