Individual
EMILY ROSE GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7108 S ALTON WAY STE A, CENTENNIAL, CO 80112-2108
(480) 747-8629
Mailing address
7108 S ALTON WAY STE A, CENTENNIAL, CO 80112-2108
(480) 747-8629
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LSW.0009923500
CO
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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