Goff, Colleen Diane

Goff, Colleen Diane is an individual health care provider with primary practice located at 442 Professional Park Rd , Clinton SC 29325-7626. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Goff, Colleen Diane can be contacted via phone (864) 938-0912.

Contact Information

Primary practice address
442 Professional Park Rd Clinton SC 29325-7626
Phone: (864) 938-0912
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 4637 South Carolina

Profile Details

NPI number 1518069483
LBN Legal business name Goff, Colleen Diane
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518069483 NPPES
South Carolina MEDICAID 421504

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