Individual provider · Type 1 NPI

Josephine Lynn Gooshaw

Mental Health Counselor · Fairbanks, AK

NPI number 1124391289 Active

Practice location

110 2nd Ave
Fairbanks, AK 99701-4809

Fax (907) 452-7942

Mailing address

1428 Gillam Way # 1
Fairbanks, AK 99701-6073

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1124391289

Josephine Lynn Gooshaw's National Provider Identifier is 1124391289, issued on Feb 20, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairbanks, AK. The record was last updated on Feb 20, 2012.