Individual
DR. KRISTOPHER MICHAEL GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
218 BROADWAY BLVD SE, ALBUQUERQUE, NM 87102-3425
(315) 727-2968
Mailing address
218 BROADWAY BLVD SE, ALBUQUERQUE, NM 87102-3425
(315) 727-2968
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0138741
NM
Other
Enumeration date
01/19/2013
Last updated
01/19/2013
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