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Individual
MS. STACEY MICHELLE GOODEN
Active
Individual
MS. STACEY MICHELLE GOODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
67391
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67391
TEXAS LPC LICENSE
TX
Enumeration date
02/07/2013
Last updated
08/27/2015
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