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Individual

EMILY GOODYEAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC, LICDC

Contact information

Practice address
721 LINCOLN WAY E, MASSILLON, OH 44646-6829
(234) 348-8016
Mailing address
1362 BUTLER ST SE, NORTH CANTON, OH 44720-3973

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C. 1700079
OH
101YP2500X
Professional Counselor
Primary
E.2001611
OH

Other

Enumeration date
03/23/2017
Last updated
02/05/2020
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