Individual provider · Type 1 NPI

Laura Marja Goodman, M.S.

Mental Health Counselor · Quincy, IL

NPI number 1154507291 Active

Practice location

205 S 24th St
Quincy, IL 62301-4446

Mailing address

1225 Saint Charles Dr
Quincy, IL 62305-7146

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1154507291

Laura Marja Goodman, M.S.'s National Provider Identifier is 1154507291, issued on Jan 19, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Quincy, IL. The record was last updated on Jan 19, 2008.