Individual
ELIZABETH J GOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PC
Contact information
Practice address
416 XENIA AVE, YELLOW SPRINGS, OH 45387-1836
(937) 767-9171
(937) 767-9171
Mailing address
416 XENIA AVE, YELLOW SPRINGS, OH 45387-1836
(937) 767-9171
(937) 767-9175
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C-1100497
OH
Other
Enumeration date
11/07/2012
Last updated
02/22/2017
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