Individual
BOBBY JOE GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
5501 DELMAR BLVD STE B300, SAINT LOUIS, MO 63112-3078
(314) 469-4908
Mailing address
5501 DELMAR BLVD STE B300, SAINT LOUIS, MO 63112-3078
(314) 469-4908
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/04/2017
Last updated
05/19/2023
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