Individual
MRS. GERALD EVELYN GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3531 SLADE RUN DR, FALLS CHURCH, VA 22042-3923
(703) 237-2231
(703) 237-2231
Mailing address
3531 SLADE RUN DR, FALLS CHURCH, VA 22042-3923
(703) 237-2231
(703) 237-2231
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
09043352
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
394133
UNITED MAMSI
VA
01
—
7745413
AETNA
VA
05
—
8945616
—
VA
01
—
M607
CARE FIRST
VA
Enumeration date
01/18/2007
Last updated
07/09/2007
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