Individual provider · Type 1 NPI

Sara Goudge, MA, LPCC

Professional Counselor · St. Francis, MN

NPI number 1083991525 Active

Practice location

23306 Cree St Unit 106
St. Francis, MN 55070-2307

Fax (763) 312-2056

Mailing address

5409 Ambassador Blvd NW
St. Francis, MN 55070-9677

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X385 (MN)
Professional Counselor Primary 101YP2500XCC00385 (MN)

Professional Counselor: Definition to come...

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About NPI 1083991525

Sara Goudge, MA, LPCC's National Provider Identifier is 1083991525, issued on Nov 11, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in St. Francis, MN. The record was last updated on Sep 9, 2021.