Individual
SARA GOUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
23306 CREE ST UNIT 106, SAINT FRANCIS, MN 55070-2307
(763) 220-0501
(763) 312-2056
Mailing address
5409 AMBASSADOR BLVD NW, SAINT FRANCIS, MN 55070-9677
(612) 501-4749
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
385
MN
101YP2500X
Professional Counselor
Primary
CC00385
MN
Other
Enumeration date
11/11/2011
Last updated
09/09/2021
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