Individual
EVELYN A GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
4269 PEARL RD, CLEVELAND, OH 44109-4234
(216) 431-4131
Mailing address
4269 PEARL RD, CLEVELAND, OH 44109-4234
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.179217
OH
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
06/09/2025
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