Individual provider · Type 1 NPI
Jason Hayes Goodwin, LCPC, CDAC
Professional Counselor · Coeur D'alene, ID
NPI number
1174621627
Active
Practice location
1417 N. 4th St.
Coeur D'alene, ID 83814
Fax (208) 292-2189
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC-3639 (ID) |
Professional Counselor: Definition to come...
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About NPI 1174621627
Jason Hayes Goodwin, LCPC, CDAC's National Provider Identifier is 1174621627, issued on Sep 20, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Coeur D'alene, ID. The record was last updated on Aug 4, 2011.