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Individual
KRISTIN COLLEEN GOODMAN
Active
Individual
KRISTIN COLLEEN GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
17598
NC
101YM0800X
Mental Health Counselor
LPC.0016603
CO
101YP2500X
Professional Counselor
17598
NC
Other
Enumeration date
10/22/2020
Last updated
04/10/2025
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