Provider Demographics
NPI:1124675954
Name:GOULD, CATHRIN (LCSW, LCDC,)
Entity type:Individual
Prefix:
First Name:CATHRIN
Middle Name:
Last Name:GOULD
Suffix:
Gender:F
Credentials:LCSW, LCDC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 TEAKMILL TRL
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-4385
Mailing Address - Country:US
Mailing Address - Phone:512-983-2979
Mailing Address - Fax:
Practice Address - Street 1:631 MILL ST
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-6732
Practice Address - Country:US
Practice Address - Phone:512-983-2979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-26
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13994101YA0400X
TX65241101YM0800X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health