Individual
SUSAN LEE GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.P.C., N.C.C.
Contact information
Practice address
744 NW 4TH ST, CORVALLIS, OR 97330-6415
(541) 619-2331
Mailing address
2953 45TH CT SE, ALBANY, OR 97322-6473
(541) 619-2331
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1091
OR
Other
Enumeration date
11/10/2007
Last updated
11/10/2007
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