Individual
CAROLYN GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
3500 W 4TH ST, SIOUX CITY, IA 51103-3203
(712) 226-1807
(712) 293-4804
Mailing address
3500 W 4TH ST, SIOUX CITY, IA 51103-3203
(712) 226-1807
(712) 293-4804
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12095
IA
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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