Individual
JAMESEN L. GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8555 16TH ST STE 202, SILVER SPRING, MD 20910-2802
(301) 589-6033
(301) 589-1039
Mailing address
512 DARTMOUTH AVE., SILVER SPRING, MD 20910
(301) 589-5821
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC2431
MD
Other
Enumeration date
05/03/2007
Last updated
07/16/2012
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