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Individual
TINA MARIE GOESS
Active
Individual
TINA MARIE GOESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TH0004X
Health Psychologist
—
—
103TP0814X
Psychoanalysis Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
14534
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669815643
—
MN
05
—
VN000088953001
—
MN
Enumeration date
04/09/2013
Last updated
09/09/2025
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