Individual
TONIA MECHELLE GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M S
Contact information
Practice address
1316 JARED RAY DR, CLARKSVILLE, TN 37042-6773
(931) 220-2213
Mailing address
1316 JARED RAY DR, CLARKSVILLE, TN 37042-6773
(931) 220-2213
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
165645
KY
101YP2500X
Professional Counselor
Primary
LPC000000408
TN
101YP2500X
Professional Counselor
LPC007442
GA
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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