Individual
MRS. GLENDA RUTH GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
409 N SMYTHE ST, BOWIE, TX 76230-4826
(940) 389-7675
(940) 427-9771
Mailing address
PO BOX 488, ALVORD, TX 76225-0488
(940) 389-7675
(940) 427-9771
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
17655
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17655
TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS
TX
Enumeration date
09/18/2009
Last updated
06/16/2010
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