Individual provider · Type 1 NPI

Tasha M. Gooden

Addiction (Substance Use Disorder) Counselor · Charlotte, NC

NPI number 1811220692 Active

Practice location

6115 Hickory Grove Rd
Charlotte, NC 28215-4207

Call (704) 532-4262 Map

Fax (704) 532-7617

Mailing address

650 S Peoria Ave
Tulsa, OK 74120-4429

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X25979 (NC)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1811220692

Tasha M. Gooden's National Provider Identifier is 1811220692, issued on Sep 11, 2009. 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 Feb 11, 2022.