Provider Demographics
NPI:1104036425
Name:GOLIAN, CAREN AMY (LPC)
Entity Type:Individual
Prefix:
First Name:CAREN
Middle Name:AMY
Last Name:GOLIAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CAREN
Other - Middle Name:AMY
Other - Last Name:ROSENTHAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1232 UNIVERSITY OF OREGON
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97403-1232
Mailing Address - Country:US
Mailing Address - Phone:541-346-4447
Mailing Address - Fax:541-346-8215
Practice Address - Street 1:1232 UNIVERSITY OF OREGON
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97403
Practice Address - Country:US
Practice Address - Phone:541-346-4447
Practice Address - Fax:541-346-8215
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC1668101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional