Individual provider · Type 1 NPI

Laura Ann Goodyear

Professional Counselor · Mesa, AZ

NPI number 1417618950 Active

Practice location

4864 E Baseline Rd Ste 106
Mesa, AZ 85206-4629

Mailing address

15207 S Foxtail Ln
Phoenix, AZ 85048-9594

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLAC-20436 (AZ)

Professional Counselor: Definition to come...

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About NPI 1417618950

Laura Ann Goodyear's National Provider Identifier is 1417618950, issued on Jan 6, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mesa, AZ. The record was last updated on Jan 6, 2022.