Individual provider · Type 1 NPI

Samuel Goode

Mental Health Counselor · Vicksburg, MS

NPI number 1699265322 Active

Practice location

3444 Wisconsin Ave
Vicksburg, MS 39180-5331

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1699265322

Samuel Goode's National Provider Identifier is 1699265322, issued on May 17, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vicksburg, MS. The record was last updated on Jun 16, 2018.