Individual
ELIZABETH ANN GOOD WYKNENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT-I
Contact information
Practice address
831 S PERRY ST, CASTLE ROCK, CO 80104
(303) 730-8858
Mailing address
155 INVERNESS DR W, ENGLEWOOD, CO 80112-5095
(303) 730-8858
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT.0001350
CO
106H00000X
Marriage & Family Therapist
MFTI71882
CA
Other
Enumeration date
04/17/2013
Last updated
07/10/2018
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