Individual provider · Type 1 NPI
Kelric S. Goodman, LCPC
Professional Counselor · Baltimore, MD
NPI number
1336274398
Active
Practice location
419 Oella Ave
Baltimore, MD 21228-5419
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LC1976 (MD) |
Professional Counselor: Definition to come...
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About NPI 1336274398
Kelric S. Goodman, LCPC's National Provider Identifier is 1336274398, issued on Feb 22, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Baltimore, MD. The record was last updated on Oct 28, 2021.