Individual
KELRIC S GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
419 OELLA AVE, BALTIMORE, MD 21228-5419
(443) 851-3224
Mailing address
419 OELLA AVE, CATONSVILLE, MD 21228-5419
(443) 851-3224
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC1976
MD
Other
Enumeration date
02/22/2007
Last updated
10/28/2021
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