Individual provider · Type 1 NPI
Aviva Rachel Goodman
Mental Health Counselor · Great Neck, NY
NPI number
1093430480
Active
Practice location
1000 Northern Blvd Ste 114
Great Neck, NY 11021-5312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | LC11018 (MD) |
| Mental Health Counselor Primary | 101YM0800X | 012544 (NY) |
Mental Health Counselor: Definition to come...
2 other providers at this address
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About NPI 1093430480
Aviva Rachel Goodman's National Provider Identifier is 1093430480, issued on Oct 7, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Great Neck, NY. The record was last updated on Oct 7, 2022.