Individual provider · Type 1 NPI
Shelly Goodwin
Addiction (Substance Use Disorder) Counselor · Atoka, OK
NPI number
1376947945
Active
Practice location
303 E Court St
Atoka, OK 74525-2047
Mailing address
1414 S Walker Dr
Atoka, OK 74525-3610
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1376947945
Shelly Goodwin's National Provider Identifier is 1376947945, issued on Oct 10, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Atoka, OK. The record was last updated on Oct 10, 2014.