Individual provider · Type 1 NPI

Samantha Rose Goodman

Mental Health Counselor · Phoenix, AZ

NPI number 1578995684 Active

Practice location

3306 W Catalina Dr
Phoenix, AZ 85017-5291

Call (602) 353-0703 Map

Fax (062) 353-0715

Mailing address

4747 N 7th St, Suite 100
Phoenix, AZ 85014-3653

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1578995684

Samantha Rose Goodman's National Provider Identifier is 1578995684, issued on Jul 31, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 31, 2013.