Stacy Goulbourne
Stacy Goulbourne is a Mental Health Counselor in Valley Stream, New York. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
17 W Merrick RdValley Stream, NY 11580-5701
Phone: (516) 459-2920
Fax: (516) 459-2020
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1487306262 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 22, 2022 |
| Last updated in NPPES | January 22, 2022 |
| Certification date | January 16, 2022 |
| Mailing address | 17 W Merrick Rd, Valley Stream, NY 11580-5701 |
Other providers in Valley Stream
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