Individual
LAURA ANN GOODYEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4864 E BASELINE RD STE 106, MESA, AZ 85206-4629
(480) 877-1486
Mailing address
15207 S FOXTAIL LN, PHOENIX, AZ 85048-9594
(480) 321-9083
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LAC-20436
AZ
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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