Individual
BRENDA R. GOODINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHRT-C
Contact information
Practice address
43 VICKERS DR, CARIBOU, ME 04736-3884
(207) 498-0922
(207) 492-3181
Mailing address
43 VICKERS DR, CARIBOU, ME 04736-3884
(207) 498-0922
(207) 492-3181
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103850000
MAINECARE
ME
Enumeration date
05/23/2008
Last updated
05/23/2008
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