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BLONDENE PATRICE GOULBOURNE LAC
NPI 1205655180
Counselor - Mental Health in Union, NJ

Active since October 07, 2024
1053 OVERLOOK TER, UNION, NJ 07083(718) 208-3959 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blondene Patrice Goulbourne Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLONDENE PATRICE GOULBOURNE LAC (NPI 1205655180) is an individual mental health provider in Union, New Jersey, licensed in New Jersey (37AC00767200) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1205655180
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBLONDENE PATRICE GOULBOURNECredential: LAC
Location Address1053 OVERLOOK TERUnion, NJ 07083-3607
Mailing Address58 Garibaldi AveLodi, NJ 07644-1806 · (718) 208-3959
Phone(718) 208-3959
Sole ProprietorNo
Enumeration DateOctober 7, 2024
NPPES CertifiedOctober 7, 2024
✔ NPI 1205655180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NJ · 37AC00767200
1053 OVERLOOK TER, Union, NJ 07083
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VANESSA MING
Counselor (Mental Health)
1053 OVERLOOK TER
UNION, NJ 07083
Union County (347) 766-3036

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blondene Goulbourne's NPI number?

The NPI number for Blondene Goulbourne is 1205655180. It was assigned to this individual provider in the NPPES registry on October 7, 2024.

Where is Blondene Goulbourne located?

Blondene Goulbourne practices at 1053 Overlook Ter, Union, NJ 07083. The listed phone number is (718) 208-3959.

What is Blondene Goulbourne's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Blondene Goulbourne was last updated on October 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.