Provider Demographics
NPI:1689990160
Name:GOBLE, HELENE E (MFT)
Entity Type:Individual
Prefix:
First Name:HELENE
Middle Name:E
Last Name:GOBLE
Suffix:
Gender:F
Credentials:MFT
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 2906
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-9405
Mailing Address - Country:US
Mailing Address - Phone:916-342-3258
Mailing Address - Fax:
Practice Address - Street 1:8066 SUNSET AVE STE 101-1
Practice Address - Street 2:
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-5000
Practice Address - Country:US
Practice Address - Phone:916-342-3258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-09
Last Update Date:2015-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA85085106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist