| Gold Therapeutics | |
|
1112 Daniels St Ste 40 Vancouver WA 98660-2954 | |
| (503) 806-9680 | |
| Not Available |
| Full Name | Gold Therapeutics |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1112 Daniels St Ste 40, Vancouver, Washington |
| Authorized Official Name and Position | Peter Gold (OWNER) |
| Authorized Official Contact | 5038069680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gold Therapeutics 1112 Daniels St Ste 40 Vancouver WA 98660-2954 Ph: () - | Gold Therapeutics 1112 Daniels St Ste 40 Vancouver WA 98660-2954 Ph: (503) 806-9680 |
| NPI Number | 1255814331 |
|---|---|
| Provider Enumeration Date | 09/13/2018 |
| Last Update Date | 09/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255814331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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