Individual provider · Type 1 NPI
Stephanie Elaine Goodwin, MA, CSAC, QMHP
Counselor · Fredericksburg, VA
NPI number
1194053256
Active
Practice location
915 Lafayette Blvd # C
Fredericksburg, VA 22401-5667
Fax (540) 654-5859
Mailing address
3405 Pipit Dr
Alexandria, VA 22306-2978
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 0710001130 (VA) |
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.
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About NPI 1194053256
Stephanie Elaine Goodwin, MA, CSAC, QMHP's National Provider Identifier is 1194053256, issued on Dec 1, 2009. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fredericksburg, VA. The record was last updated on Dec 1, 2009.