Individual
MS. CHERYL LYNN GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCC
Contact information
Practice address
320 OSUNA RD NE STE H4, ALBUQUERQUE, NM 87107-5955
(505) 345-2778
(505) 345-2878
Mailing address
124 SAN LUCAS, BELEN, NM 87002-7011
(505) 861-1144
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0101321
NM
101YM0800X
Mental Health Counselor
E0003856
OH
Other
Enumeration date
02/27/2007
Last updated
02/07/2009
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