Individual
RANDALL J GOODFRIEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 S MAIN, SUPERIOR, AZ 85273-0004
(480) 288-5328
(480) 288-5339
Mailing address
PO BOX 3160, APACHE JUNCTION, AZ 85217-3160
(480) 288-5328
(480) 288-5339
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-2392
AZ
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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