Individual provider · Type 1 NPI
Bianca D. Goodrum, LPC-INTERN
Professional Counselor · San Antonio, TX
NPI number
1346693645
Active
Practice location
205 W Olmos Dr
San Antonio, TX 78212-1957
Fax (210) 832-8919
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 73119 (TX) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1346693645
Bianca D. Goodrum, LPC-INTERN's National Provider Identifier is 1346693645, issued on Jul 21, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Antonio, TX. The record was last updated on Jul 21, 2016.