Individual provider · Type 1 NPI

Stacy Goulbourne

Mental Health Counselor · Valley Stream, NY

NPI number 1487306262 Active

Practice location

17 W Merrick Rd
Valley Stream, NY 11580-5701

Call (516) 459-2920 Map

Fax (516) 459-2020

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1487306262

Stacy Goulbourne's National Provider Identifier is 1487306262, issued on Jan 22, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Valley Stream, NY. The record was last updated on Jan 22, 2022.