Individual
CRAIG PHILLIP GOODFACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
311 S I ST, ABERDEEN, WA 98520-6615
(360) 397-8246
Mailing address
1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661-3713
(360) 397-8246
(360) 397-8250
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60777460
WA
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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