Individual
MS. JANNAH S GOODELL
Active
Individual
MS. JANNAH S GOODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LPC, ATR-BC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC005371
GA
1041C0700X
Clinical Social Worker
Primary
CSW004122
GA
221700000X
Art Therapist
90-062
—
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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