Provider Demographics
NPI:1154098184
Name:GOLDSMITH, ALLISON J (MS, LPCC)
Entity Type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:J
Last Name:GOLDSMITH
Suffix:
Gender:F
Credentials:MS, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 EBY CREEK RD
Mailing Address - Street 2:
Mailing Address - City:EAGLE
Mailing Address - State:CO
Mailing Address - Zip Code:81631-2127
Mailing Address - Country:US
Mailing Address - Phone:970-306-4673
Mailing Address - Fax:
Practice Address - Street 1:360 EBY CREEK RD
Practice Address - Street 2:
Practice Address - City:EAGLE
Practice Address - State:CO
Practice Address - Zip Code:81631-2127
Practice Address - Country:US
Practice Address - Phone:970-306-4673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0017458101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health