| NPI | 1962166322 |
|---|---|
| Doing Business As | CASEY GOLDMAN, LCMHC |
| Entity Type | Organization |
| Authorized Contact | CASEY GOLDMAN Provider 802-363-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2021-10-22 |