Individual provider · Type 1 NPI

Eli Justin Goodman

Addiction (Substance Use Disorder) Counselor · Eagan, MN

NPI number 1922945112 Active

Practice location

1440 Duckwood Dr Ste 500
Eagan, MN 55122-1399

Call (612) 440-7250 Map

Mailing address

2044 Oakdale Ave Apt 105
West St. Paul, MN 55118-4671

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11305 (MN)

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

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About NPI 1922945112

Eli Justin Goodman's National Provider Identifier is 1922945112, issued on May 4, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Eagan, MN. The record was last updated on May 4, 2026.