Individual provider · Type 1 NPI

Gina Goodwin

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1629931050 Active

Practice location

2550 W Clinton Ave, Suite 311
Fresno, CA 93705

Mailing address

4228 N Kavanagh Ave
Fresno, CA 93705-1244

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X24115 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1629931050

Gina Goodwin's National Provider Identifier is 1629931050, issued on Dec 3, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fresno, CA. The record was last updated on Mar 12, 2026.