Individual
MR. DE'RESE ZYIRE GOODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCC, LCMHC, CCHT
Contact information
Practice address
31 S MAIN ST, DAYTON, OH 45402-2070
(937) 860-1038
(270) 203-0587
Mailing address
31 S MAIN ST, DAYTON, OH 45402-2070
(937) 860-1038
(270) 203-0587
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
C.1700611
OH
102L00000X
Psychoanalyst
11725
OH
405300000X
Prevention Professional
Primary
C.1700611
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0307155
—
OH
Enumeration date
08/03/2017
Last updated
01/05/2025
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