Individual provider · Type 1 NPI

Dwan Nicole Goodrich, BS CAC I

Addiction (Substance Use Disorder) Counselor · Pueblo, CO

NPI number 1861795668 Active

Practice location

3500 Baltimore Ave
Pueblo, CO 81008-1543

Call (719) 545-1181 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X6530 (CO)

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

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About NPI 1861795668

Dwan Nicole Goodrich, BS CAC I's National Provider Identifier is 1861795668, issued on Dec 16, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pueblo, CO. The record was last updated on Dec 16, 2010.