Individual provider · Type 1 NPI

Ikesha Goodwin

Mental Health Counselor · Stockton, CA

NPI number 1104279728 Active

Practice location

540 N California St
Stockton, CA 95202-2117

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104279728

Ikesha Goodwin's National Provider Identifier is 1104279728, issued on Jul 19, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stockton, CA. The record was last updated on Feb 15, 2017.