Individual
ABBY GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
425 MAIN ST, CHESTER, NJ 07930-2526
(973) 590-4901
Mailing address
2 FLANDERS RD APT 420, NETCONG, NJ 07857-1039
(315) 466-1725
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00774000
NJ
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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