Individual
DR. KASSI LYNN GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1064 GARDNER RD STE 215, CHARLESTON, SC 29407-1712
(843) 779-7718
Mailing address
1064 GARDNER RD STE 215, CHARLESTON, SC 29407-1712
(843) 779-7718
(843) 279-3161
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/16/2007
Last updated
01/13/2026
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