Individual
JAMIE GOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LADC-MH-C
Contact information
Practice address
4808 JAMES LN, YUKON, OK 73099-6693
(405) 438-3000
Mailing address
13101 MEMORIAL SPRINGS CT, OKLAHOMA CITY, OK 73114-2228
(405) 464-9179
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OK
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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