Individual
MRS. SONYA GOODPASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1405 RUCKER BLVD, ENTERPRISE, AL 36330-2236
(334) 417-0212
(334) 417-0213
Mailing address
1210 RUCKER BLVD, ENTERPRISE, AL 36330-3625
(334) 494-8039
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4129
AL
Other
Enumeration date
07/09/2018
Last updated
06/13/2024
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