Individual
LISA GOODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, SCL
Contact information
Practice address
888 W BIG BEAVER RD STE 780, TROY, MI 48084-4745
(586) 434-0175
Mailing address
32524 NORWOOD DR, WARREN, MI 48092-3274
(586) 434-0175
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401014725
MI
Other
Enumeration date
08/14/2017
Last updated
07/21/2022
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