Individual provider · Type 1 NPI
Roberta R. Goodman, LPAT
Mental Health Counselor · Tesuque, NM
NPI number
1831269448
Active
Practice location
187 Tesuque Village Rd
Tesuque, NM 87506
Fax (505) 310-1576
Mailing address
PO Box 1111
Santa Fe, NM 87504-1111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 0438 (NM) |
Mental Health Counselor: Definition to come...
About NPI 1831269448
Roberta R. Goodman, LPAT's National Provider Identifier is 1831269448, issued on Nov 9, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tesuque, NM. The record was last updated on May 21, 2009.