Individual provider · Type 1 NPI
Annette Goodman, LCAS-A
Addiction (Substance Use Disorder) Counselor · Charlotte, NC
NPI number
1801236484
Active
Practice location
415 E. Trade Street
Charlotte, NC 28202
Fax (704) 377-5043
Mailing address
7729 Petrea Ln
Charlotte, NC 28227-1061
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 3206-A (NC) |
| Mental Health Counselor | 101YM0800X | 3201-A (NC) |
| Rehabilitation Counselor | 225C00000X | 3206-A (NC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1801236484
Annette Goodman, LCAS-A's National Provider Identifier is 1801236484, issued on Jun 27, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Charlotte, NC. The record was last updated on Jun 27, 2013.