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Individual
KIMBERLY GOEDDE
Active
Individual
KIMBERLY GOEDDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAP, CMHP, CBHCM
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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