Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | 929 | NH |
N | 101YM0800X | Mental Health Counselor | 929 | NH |
N | 101YP1600X | Pastoral Counselor | 929 | NH |
NPI | 1225071350 |
---|---|
Provider Name | Ms. Lois E Goss |
First Address | Salem, NH 03079-2251 |
Second Address | Salem, NH 03079-2251 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
14Y000861NH02 | BLUE CROSS/BLUE SHIELD (01) | |
30423938 | (05) | NH |