Individual provider · Type 1 NPI

Jeanimarie Goodwin

Counselor · Philadelphia, PA

NPI number 1558736769 Active

Practice location

9815 Roosevelt Blvd, Suite B
Philadelphia, PA 19114-1035

Call (610) 644-6464 Map

Fax (610) 981-6078

Mailing address

680 American Ave, Suite 302
King Of Prussia, PA 19406-4023

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1558736769

Jeanimarie Goodwin's National Provider Identifier is 1558736769, issued on Dec 14, 2015. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 14, 2015.