Individual
KATHERINE GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW, LADC
Contact information
Practice address
7301 OHMS LN STE 450, EDINA, MN 55439-2339
(612) 208-2622
Mailing address
7301 OHMS LN STE 450, EDINA, MN 55439-2339
(612) 702-8389
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305348
MN
1041C0700X
Clinical Social Worker
Primary
27410
MN
Other
Enumeration date
05/08/2019
Last updated
03/14/2025
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