Individual
MR. DARYL ARNETT GOODMAN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3707 LATROBE DR STE 450, CHARLOTTE, NC 28211-1361
(704) 563-3336
Mailing address
3212 FOWLER COURT, CHARLOTTE, NC 28216
(704) 451-9559
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
P011147
NC
Other
Enumeration date
05/19/2017
Last updated
05/19/2017
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