Individual
KRISTINA C GOODALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 HIGHWAY 17 N, SUITE 104, SURFSIDE BEACH, SC 29575-6081
(843) 333-8624
Mailing address
1500 HIGHWAY 17 N, SUITE 104, SURFSIDE BEACH, SC 29575-6081
(843) 333-8624
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5728
SC
Other
Enumeration date
04/19/2010
Last updated
06/29/2016
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