Individual provider · Type 1 NPI

Kenith Alan Goodman, M.A., MFT

Marriage & Family Therapist · San Rafael, CA

NPI number 1083901862 Active

Practice location

1368 Lincoln Ave, Suite 214
San Rafael, CA 94901-2147

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	MFC36868 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1083901862

Kenith Alan Goodman, M.A., MFT's National Provider Identifier is 1083901862, issued on Jun 30, 2011. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Rafael, CA. The record was last updated on Jun 30, 2011.