Individual provider · Type 1 NPI

Jerome M. Goodman

Counselor · Portland, OR

NPI number 1194543058 Active

Practice location

2929 SE Stark St
Portland, OR 97214-4575

Call (608) 327-9845 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone 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.

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About NPI 1194543058

Jerome M. Goodman's National Provider Identifier is 1194543058, issued on Sep 30, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Sep 30, 2024.