person
Samantha Mace Gothberg
Mental Health Counselor in Eagle, Colorado
NPI 1831866847

Samantha Mace Gothberg is a Mental Health Counselor based in Eagle, CO and is specialized in Mental Health. Samantha Mace Gothberg practices in Eagle, CO. The NPI Number for Samantha Mace Gothberg is 1831866847 and holds a License No. LPCC.0017147 (Colorado).

The current practice location address for Samantha Mace Gothberg is 360 Eby Creek Road, Eagle, CO and can be reached out via phone at 970-306-4673.

Location: 360 Eby Creek Road, Eagle, CO, 81631-2127
person
Provider Profile Details
NPI Number
1831866847
Provider Name
Samantha Mace Gothberg
Credential
Provider Entity Type
Individual
Gender
Female
Address
360 Eby Creek Road, Eagle, CO, 81631-2127
Phone Number
970-306-4673
Fax Number
Provider Enumeration Date
08/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
360 Eby Creek Road
City
State
Zip
81631
Phone Number
970-306-4673
Fax Number
person
Provider Business Mailing Address Details
Address
360 Eby Creek Road
City
State
Zip
81631
Phone Number
970-306-4673
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPCC.0017147 (Colorado)
Definition
Definition to come...
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