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Individual
NIKKI ANN GOODENOUGH - LACINA
Active
Individual
NIKKI ANN GOODENOUGH - LACINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
001117
CT
101YP2500X
Professional Counselor
Primary
0012779
CO
101YP2500X
Professional Counselor
LPC0012779
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
876114
BEACON HEALTH OPTIONS, INC.
CO
05
—
876114
—
CO
01
—
LPC0012779
STATE OF COLORADO LICENSE NUMBER LPC
CO
Enumeration date
03/14/2014
Last updated
07/30/2024
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