Individual
CASSANDRA F GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
25700 SCIENCE PARK DR STE 210, BEACHWOOD, OH 44122-7328
(216) 450-1613
(216) 450-1614
Mailing address
4016 JOHN AVE, CLEVELAND, OH 44113-3228
(216) 450-1613
(216) 450-1614
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.0700303-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E.0700303-SUPV
LICENSE
OH
Enumeration date
12/30/2013
Last updated
07/06/2020
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