Samantha Mace Gothberg

NPI #1831866847 in Eagle, Colorado

Provider Information

NPI Number
1831866847
Entity Type
Individual
Name
Samantha Mace Gothberg
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Aug 26, 2021
Last Updated
Aug 26, 2021

Practice Location

Address
360 EBY CREEK ROAD
City
Eagle
ZIP Code
81631
Phone
(970) 306-4673

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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