Individual
ANDREA EVE GOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA-R, CADC-I, CRM
Contact information
Practice address
104 4TH AVE SW, ALBANY, OR 97321-2804
(541) 967-3866
Mailing address
PO BOX 100, ALBANY, OR 97321-0031
(541) 967-3866
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17-CRM-124
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21-01-10061
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-19-379
OR
Other
Enumeration date
08/31/2017
Last updated
01/31/2023
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