Individual
CHELSEA CARVER GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
727 N BROADWAY STE C1, MASSAPEQUA, NY 11758-2348
(516) 243-7909
Mailing address
750 LIDO BLVD APT 71B, LIDO BEACH, NY 11561-5242
(516) 589-3415
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
015334
NY
Other
Enumeration date
09/24/2021
Last updated
11/05/2024
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