Provider Demographics
NPI:1699044743
Name:GOLDFUSS, CECILIA A (LCMHC, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:CECILIA
Middle Name:A
Last Name:GOLDFUSS
Suffix:
Gender:F
Credentials:LCMHC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 CENTRAL SQ STE 300
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-3707
Mailing Address - Country:US
Mailing Address - Phone:603-355-2244
Mailing Address - Fax:
Practice Address - Street 1:9 VOSE FARM RD
Practice Address - Street 2:
Practice Address - City:PETERBOROUGH
Practice Address - State:NH
Practice Address - Zip Code:03458-2154
Practice Address - Country:US
Practice Address - Phone:033-552-2446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-19
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9238101Y00000X
NH2200101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT2025OtherLPC