Individual provider · Type 1 NPI

Kevin Michal Andrew Goodman

Marriage & Family Therapist · Grover Beach, CA

NPI number 1306137005 Active

Practice location

1523 Longbranch Ave
Grover Beach, CA 93433-2508

Call (805) 473-7006 Map

Mailing address

2180 Johnson Ave
San Luis Obispo, CA 93401-4558

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X104925 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1306137005

Kevin Michal Andrew Goodman's National Provider Identifier is 1306137005, issued on Apr 28, 2011. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Grover Beach, CA. The record was last updated on Feb 28, 2025.