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Individual

TASHA GOODE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
INTERN

Contact information

Practice address
11695 S BLACKBOB RD, OLATHE, KS 66062-1058
(913) 768-6606
Mailing address
705B SE MELODY LN # 139, LEES SUMMIT, MO 64063-4380
(816) 778-6510

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
02/07/2024
Last updated
02/07/2024
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