Individual provider · Type 1 NPI

Candice Goykhberg, LPCC, LICDC

Professional Counselor · Mentor, OH

NPI number 1619335296 Active

Practice location

7519 Mentor Ave Ste 114
Mentor, OH 44060

Fax (440) 527-8043

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X151218 (OH)
Mental Health Counselor 101YM0800XC0900607 (OH)
Professional Counselor Primary 101YP2500XE.2303852 (OH)

Professional Counselor: Definition to come...

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About NPI 1619335296

Candice Goykhberg, LPCC, LICDC's National Provider Identifier is 1619335296, issued on Feb 10, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mentor, OH. The record was last updated on Nov 27, 2023.