Individual
DR. DESTARTE LINDAINE GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
24511 W JAYNE AVE, COALINGA, CA 93210-9503
(559) 934-8077
Mailing address
24511 W JAYNE AVE, COALINGA, CA 93210-9503
(559) 934-8077
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
CA
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
31165
CA
Other
Enumeration date
04/12/2018
Last updated
09/26/2019
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