# DENISE GOOCH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1548991029
- **Gender:** F
- **Credential:** LISW, LCDC III

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | LCDCIII.101046 | OH | — |
| 101YM0800X | Mental Health Counselor | I.1302427-SUPV | OH | Yes |

## Other

- **Enumeration date:** 06/23/2022
- **Last updated:** 06/23/2022