Individual provider · Type 1 NPI
Myron Goodman, MA LADC
Addiction (Substance Use Disorder) Counselor · Plymouth, MN
NPI number
1588959233
Active
Practice location
1884 Berkshire Ln N
Plymouth, MN 55441-3723
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 302311 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1588959233
Myron Goodman, MA LADC's National Provider Identifier is 1588959233, issued on Jun 10, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Plymouth, MN. The record was last updated on Jun 10, 2011.