Individual provider · Type 1 NPI

Tracey Javelle Goodson, MED

Counselor · Phila, PA

NPI number 1669599205 Active

Practice location

112 N Broad St
Phila, PA 19102-1510

Call (215) 568-0860 Map

Fax (215) 568-0769

Mailing address

7118 Limekiln Pike
Phila, PA 19138-2025

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 1669599205

Tracey Javelle Goodson, MED's National Provider Identifier is 1669599205, issued on Mar 26, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Phila, PA. The record was last updated on Jul 8, 2007.