Individual
SUONG JANA GOODHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2649 PARK AVE, MINNEAPOLIS, MN 55407-1006
(612) 676-1604
(612) 379-8235
Mailing address
2649 PARK AVE, MINNEAPOLIS, MN 55407-1006
(612) 676-1604
(612) 379-8235
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1888
MN
Other
Enumeration date
02/26/2009
Last updated
02/26/2009
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