NPI 1134368855

Alex Goulbourne

Practitioner Mental Health Counselor Springfield Gardens, NY

Practice location

Address: 13325 220th St, Springfield Gardens, NY 11413-1636
Phone: (718) 859-9760
Fax: (718) 859-9767
Mailing address: 2233 Nostrand Ave STE 2, Brooklyn, NY 11210-3029

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

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Registry record

NPI: 1134368855
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Feb 2009
Record last updated: 19 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.