Individual provider · Type 1 NPI
Shannon Goodman
Counselor · Mona, UT
NPI number
1134426901
Active
Practice location
525 W. 200 N.
Mona, UT 84648
Fax (435) 623-2827
Mailing address
619 N 500 W
Provo, UT 84601-1547
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
3 other providers at this address
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About NPI 1134426901
Shannon Goodman's National Provider Identifier is 1134426901, issued on Feb 14, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Mona, UT. The record was last updated on Feb 14, 2011.