Individual provider · Type 1 NPI

Matthew Goodwin

Mental Health Counselor · Bloomington, IL

NPI number 1740626720 Active

Practice location

108 W Market St
Bloomington, IL 61701-3918

Mailing address

201 W 6th St
Gridley, IL 61744-9774

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1740626720

Matthew Goodwin's National Provider Identifier is 1740626720, issued on May 16, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bloomington, IL. The record was last updated on May 16, 2013.