Individual provider · Type 1 NPI

Connor Gooch

Professional Counselor · Springfield, MO

NPI number 1063288215 Active

Practice location

3003 E Chestnut Expy Ste 800
Springfield, MO 65802-6311

Mailing address

1401 Rockhill Cir
Ozark, MO 65721-7359

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2021047666 (MO)

Professional Counselor: Definition to come...

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About NPI 1063288215

Connor Gooch's National Provider Identifier is 1063288215, issued on Nov 29, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Springfield, MO. The record was last updated on Nov 29, 2023.