Individual
AMANDA GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7459 MIDDLEBELT RD, WEST BLOOMFIELD, MI 48322-4184
(248) 410-3246
Mailing address
6738 SPRUCE DR, BLOOMFIELD HILLS, MI 48301-3056
(248) 410-3246
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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