Blondene P Goulbourne, LAC
Counselor, Mental Health in Union, New Jersey
1205655180- Practice location
- 1053 Overlook Ter, Union, NJ 07083-3607
- Phone
- 718-208-3959
- Fax
- —
- Last updated
- October 7, 2024
Blondene Patrice Goulbourne is a Counselor, Mental Health based in Union, NJ. Blondene Patrice Goulbourne practices in Union, NJ and has the professional credentials of LAC. The NPI Number for Blondene Patrice Goulbourne is 1205655180 and holds a License No. 37AC00767200 (NJ). The current practice location address for Blondene Patrice Goulbourne is 1053 Overlook Ter, Union, NJ 07083-3607 and can be reached out via phone at 718-208-3959.
Provider Profile Details
- NPI Number
- 1205655180
- Provider Name
- Blondene Patrice Goulbourne
- Credential
- LAC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1053 Overlook Ter, Union, NJ 07083-3607
- Phone Number
- 718-208-3959
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 7, 2024
- Last Update Date
- October 7, 2024
- Certification Date
- October 7, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1053 Overlook Ter
Union, NJ 07083-3607 - City
- Union
- State
- New Jersey
- Zip
- 07083-3607
- Phone Number
- 718-208-3959
Provider Business Mailing Address Details
- Address
- 58 Garibaldi Ave
Lodi, NJ 07644-1806 - City
- Lodi
- State
- NJ
- Zip
- 07644-1806
- Phone Number
- 718-208-3959
License Information
- License Number
- 37AC00767200
- License State
- NJ
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Union, NJ
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Frequently Asked Questions
What is the NPI number of Blondene P Goulbourne, LAC?
The NPI number of Blondene P Goulbourne, LAC is 1205655180. It was assigned on October 7, 2024 and is currently active in the NPPES registry.
What is the specialty of Blondene P Goulbourne, LAC?
Blondene P Goulbourne, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00767200.
Where does Blondene P Goulbourne, LAC practice?
The practice location is 1053 Overlook Ter, Union, NJ 07083-3607. The office can be reached at 718-208-3959 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205655180 directly on the NPPES registry website.