Individual provider · Type 1 NPI

Charles Randall Gooding, SUDP

Addiction (Substance Use Disorder) Counselor · Kent, WA

NPI number 1104577162 Active

Practice location

23830 Pacific Hwy S Ste 202A
Kent, WA 98032-7706

Call (206) 501-5295 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP60474403 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104577162

Charles Randall Gooding, SUDP's National Provider Identifier is 1104577162, issued on Jan 12, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kent, WA. The record was last updated on Jan 12, 2022.