Individual
MRS. AMY MELISSA GOODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1336 BRIDGEGATE DR, DIAMOND BAR, CA 91765-3955
(626) 851-1011
Mailing address
4026 N NORA AVE, COVINA, CA 91722-3820
(626) 678-3130
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
144059
CA
Other
Enumeration date
04/08/2024
Last updated
11/07/2024
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