Individual provider · Type 1 NPI

Grace Mary Goodman, LPC

Mental Health Counselor · Herndon, VA

NPI number 1811726573 Active

Practice location

461 Carlisle Dr
Herndon, VA 20170-5620

Call (913) 522-3182 Map

Mailing address

20654 River Liffey Ter
Sterling, VA 20166-2527

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0704017197 (VA)

Mental Health Counselor: Definition to come...

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About NPI 1811726573

Grace Mary Goodman, LPC's National Provider Identifier is 1811726573, issued on Jul 31, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Herndon, VA. The record was last updated on Jul 31, 2024.