Individual
KARENSA GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC, LAPC
Contact information
Practice address
323 ROLAND RD, JASPER, GA 30143-5336
(706) 253-1112
(706) 253-1120
Mailing address
323 ROLAND RD, JASPER, GA 30143-5336
(706) 253-1112
(706) 253-1120
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
APC003171
GA
101YP2500X
Professional Counselor
Primary
LPC008080
GA
Other
Enumeration date
03/29/2012
Last updated
03/16/2016
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