Provider Demographics
NPI:1760855779
Name:GOULET, VALERIE (LMFT)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:GOULET
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 WEATHERLY RD
Mailing Address - Street 2:
Mailing Address - City:SIMSBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06070-1621
Mailing Address - Country:US
Mailing Address - Phone:860-992-2824
Mailing Address - Fax:
Practice Address - Street 1:5 WEATHERLY RD
Practice Address - Street 2:
Practice Address - City:SIMSBURY
Practice Address - State:CT
Practice Address - Zip Code:06070-1621
Practice Address - Country:US
Practice Address - Phone:860-992-2824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-12
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000982106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist