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Individual
MS. AMY A GOODWIN
Active
Individual
MS. AMY A GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CACIII
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6584
CO
101YM0800X
Mental Health Counselor
Primary
5378
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5378
LICENSED PROFESSIONAL COUNSELOR
—
Enumeration date
09/07/2007
Last updated
01/26/2015
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