Individual provider · Type 1 NPI

Jonathan Clarke Goodman, LMHC, MHP, NCC

Professional Counselor · Puyallup, WA

NPI number 1205212545 Active

Practice location

1002 39th Ave SW Ste 208
Puyallup, WA 98373-3805

Call (253) 234-5464 Map

Fax (253) 317-2787

Mailing address

204 2nd St SW, Suite 281
Puyallup, WA 98371

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLH60796049 (WA)
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1205212545

Jonathan Clarke Goodman, LMHC, MHP, NCC's National Provider Identifier is 1205212545, issued on Aug 10, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Puyallup, WA. The record was last updated on Oct 7, 2022.