Individual
CAMMIE GOODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 PINE AVE STE 400, LONG BEACH, CA 90802-3039
(562) 285-1330
Mailing address
2821 BAYWATER AVE APT D, SAN PEDRO, CA 90731-6660
(424) 450-6228
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/28/2021
Last updated
04/04/2024
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