Individual
CORRINIA DAWN GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10120 W BROAD ST, GLEN ALLEN, VA 23060-6709
(804) 489-1366
Mailing address
707 N LABURNUM AVE APT 3, RICHMOND, VA 23223-2838
(919) 428-4191
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704015125
VA
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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