person
Timothy D. Gould, EDDLPC
Professional Counselor in Sikeston, Missouri
NPI 1295788867

Timothy D. Gould is a Professional Counselor based in Sikeston, MO and is specialized in Professional. Timothy D. Gould practices in Sikeston, MO and has the professional credentials of EDDLPC. The NPI Number for Timothy D. Gould is 1295788867 and holds a License No. 002646 (Missouri).

The current practice location address for Timothy D. Gould is 903 S Kingshighway St, Sikeston, MO and can be reached out via phone at 573-979-3676.

Location: 903 S Kingshighway St, Sikeston, MO, 63801-4415
person
Provider Profile Details
NPI Number
1295788867
Provider Name
Timothy D. Gould
Credential
EDDLPC
Provider Entity Type
Individual
Gender
Male
Address
903 S Kingshighway St, Sikeston, MO, 63801-4415
Phone Number
573-979-3676
Fax Number
Provider Enumeration Date
05/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
431823864 01 MO MISSOURI ALLIANCE
11-3764474 01 MO MAGELLAN
420291 01 HEALTHLINK/FREEDOM
493840714 05 MO
49906211 01 EPOCH
420291 01 FORTIS/HL
431823864 01 CORPHEALTH
156007 01 BLUE CROSS BLUE SHIELD
431823864 01 GREATWEST
311575142 05 MO
420291 01 HEALTHLINK PPO
100387 01 MO VETERANS ADMINISTRATION
431823864 01 MULTIPLAN
431823864 01 WELLPOINT
institution
Provider Business Practice Location Address Details
Address
903 S Kingshighway St
City
State
Zip
63801-4415
Phone Number
573-979-3676
Fax Number
person
Provider Business Mailing Address Details
Address
903 S Kingshighway St
City
State
Zip
63801-4415
Phone Number
573-979-3676
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
CS002646 (Missouri)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
002646 (Missouri)
Definition
Definition to come...
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