Individual
MR. STEVEN BRUCE GOODING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
17400 RESERVATION RD., LA CONNER, WA 98257
(360) 588-2730
(360) 848-5250
Mailing address
PO BOX 683, SWINOMISH INDIAN TRIBAL COMMUNITY CHEMICAL DEPENDENCY, LA CONNER, WA 98257
(360) 848-8437
(360) 848-5250
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60617801
WA
Other
Enumeration date
05/10/2016
Last updated
01/11/2018
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