Individual provider · Type 1 NPI

Moinette Goodroad

Addiction (Substance Use Disorder) Counselor · San Francisco, CA

NPI number 1174655302 Active

Practice location

1049 Howard St
San Francisco, CA 94103-2822

Fax (415) 487-2142

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1174655302

Moinette Goodroad's National Provider Identifier is 1174655302, issued on Mar 12, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Francisco, CA. The record was last updated on May 21, 2012.