Individual provider · Type 1 NPI
Roosevelt Goodman JR Jr.
Addiction (Substance Use Disorder) Counselor · Cleveland, OH
NPI number
1497569248
Active
Practice location
3214 Prospect Ave E
Cleveland, OH 44115-2614
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CDCA.190613 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1497569248
Roosevelt Goodman JR Jr.'s National Provider Identifier is 1497569248, issued on Feb 3, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cleveland, OH. The record was last updated on Feb 18, 2025.