Provider Demographics
NPI:1992447718
Name:GOLUBOWSKI, EMILY LOUISE (LPC-A)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:LOUISE
Last Name:GOLUBOWSKI
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:LOUISE
Other - Last Name:FULCHER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC-A
Mailing Address - Street 1:75 HOCKANUM BLVD UNIT 227
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:CT
Mailing Address - Zip Code:06066-4058
Mailing Address - Country:US
Mailing Address - Phone:732-814-5643
Mailing Address - Fax:
Practice Address - Street 1:2415 BOSTON POST RD STE 12
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-4348
Practice Address - Country:US
Practice Address - Phone:203-453-2999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-12
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional