Individual
JONATHAN CLARKE GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, MHP, NCC
Contact information
Practice address
1002 39TH AVE SW STE 208, PUYALLUP, WA 98373-3805
(253) 234-5464
(253) 317-2787
Mailing address
204 2ND ST SW, SUITE 281, PUYALLUP, WA 98371
(253) 234-5464
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH60796049
WA
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/10/2015
Last updated
10/07/2022
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