Individual provider · Type 1 NPI
Jessamyn K. Goodwin, LAC
Mental Health Counselor · West Fork, AR
NPI number
1760100069
Active
Practice location
55 Dogwood Ln
West Fork, AR 72774-3025
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | A2010142 (AR) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in West Fork
About NPI 1760100069
Jessamyn K. Goodwin, LAC's National Provider Identifier is 1760100069, issued on Aug 22, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in West Fork, AR. The record was last updated on Aug 22, 2022.