MS. CONNIE M. GOULD


Address: 2729 Gun Club Rd Sw, Albuquerque, NM 87105-6331
Phone: 5053632901

MS. CONNIE M. GOULD (NPI# 1073935631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073935631
Entity Type Individual
Full Name MS. CONNIE M. GOULD
Credential LPCC
Practice Address 2729 Gun Club Rd Sw
Albuquerque
NM 87105-6331
Practice Telephone 5053632901
Mailing Telephone 5053632901
Enumeration Date 2014-01-15
Last Update Date 2014-01-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
0887 NM Behavioral Health & Social Service Providers

Office Location

Street Address 2729 GUN CLUB RD SW
City ALBUQUERQUE
State NM
Zip Code 87105-6331

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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Competitor

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City ALBUQUERQUE
Zip Code 87105

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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