Individual provider · Type 1 NPI
Tia Goosby
Counselor · Edmond, OK
NPI number
1891247102
Active
Practice location
15901 Vintage Dr
Edmond, OK 73013-1417
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1891247102
Tia Goosby's National Provider Identifier is 1891247102, issued on Nov 3, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Edmond, OK. The record was last updated on Nov 3, 2016.