Individual
DAWN RENAE GOODMAN-MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LMHC, NCC
Contact information
Practice address
355 W 16TH ST STE 2800, INDIANAPOLIS, IN 46202-2279
(317) 963-7300
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
39001792A
IN
101YM0800X
Mental Health Counselor
Primary
39001792A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100083280A
—
IN
05
—
300082404
—
IN
Enumeration date
08/22/2006
Last updated
01/11/2024
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