Individual
GEORGE RAYFORD GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC-S
Contact information
Practice address
741 SCHOLL RD, MANSFIELD, OH 44907-1571
(419) 756-1133
(419) 756-6544
Mailing address
741 SCHOLL RD, MANSFIELD, OH 44907-1571
(419) 756-1133
(419) 756-6544
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E 0500569
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0906532
—
OH
Enumeration date
11/17/2011
Last updated
11/17/2011
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