Individual
MR. ANDREW WALTER GOETZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2392 EDGEWOOD AVE N, JACKSONVILLE, FL 32254-1725
(904) 781-7797
(904) 781-8685
Mailing address
2392 EDGEWOOD AVE N, JACKSONVILLE, FL 32254-1725
(904) 781-7797
(904) 781-8685
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH9880
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029591400
—
FL
Enumeration date
07/08/2009
Last updated
07/08/2009
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