Individual
BRENDA GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
928 BROADWAY, SAN DIEGO, CA 92101-5514
(619) 977-3716
Mailing address
6844 QUEBEC CT UNIT 1, SAN DIEGO, CA 92139-2730
(619) 739-0898
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
05/09/2025
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