Provider Demographics
NPI:1407509623
Name:QUADLANDER-GOFF, EMMA (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:QUADLANDER-GOFF
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 871
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36831-0871
Mailing Address - Country:US
Mailing Address - Phone:334-329-6063
Mailing Address - Fax:334-329-6063
Practice Address - Street 1:2148 MOORES MILL RD STE A
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-8447
Practice Address - Country:US
Practice Address - Phone:334-329-6063
Practice Address - Fax:334-329-6063
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-28
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional