Individual
TANYA GOAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, TLMHC
Contact information
Practice address
1270 SE CENTENNIAL PKWY, WAUKEE, IA 50263-1272
(414) 791-1065
Mailing address
PO BOX 391, ALBURNETT, IA 52202-0391
(319) 405-0517
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
121580
IA
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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