| Rimma Gofman, Ma Lmft | |
|
39 Sherman Ct Fairfield CT 06824-5852 | |
| (203) 257-3140 | |
| (203) 368-9167 |
| Full Name | Rimma Gofman, Ma Lmft |
|---|---|
| Speciality | Counselor - Professional |
| Location | 39 Sherman Ct, Fairfield, Connecticut |
| Authorized Official Name and Position | Grace Cullen (BILLING) |
| Authorized Official Contact | 2033685515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rimma Gofman, Ma Lmft 385 Lockwood Rd Fairfield CT 06825-2650 Ph: (203) 257-3140 | Rimma Gofman, Ma Lmft 39 Sherman Ct Fairfield CT 06824-5852 Ph: (203) 257-3140 |
| NPI Number | 1972960441 |
|---|---|
| Provider Enumeration Date | 01/28/2016 |
| Last Update Date | 01/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972960441 | NPI | - | NPPES |
| 004069985 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 001778 (Connecticut) | Primary |
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