Individual provider · Type 1 NPI
Michelle D. Goodman, BS, CADC, CCS, WTS
Addiction (Substance Use Disorder) Counselor · Camden, NJ
NPI number
1508108895
Active
Practice location
3007 Kearsarge Rd
Camden, NJ 08104
Fax (856) 203-3825
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 37LC0046700 (NJ) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37CA00052300 (NJ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1508108895
Michelle D. Goodman, BS, CADC, CCS, WTS's National Provider Identifier is 1508108895, issued on Mar 25, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Camden, NJ. The record was last updated on Mar 25, 2013.