Individual
GAIL GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2525 WALLINGWOOD DR STE 124, AUSTIN, TX 78746-6900
(512) 797-3323
Mailing address
5208 TRADING BND, AUSTIN, TX 78735-6371
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13620
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13620
LICENSED PROFESSIONAL COUNSELOR
TX
Enumeration date
10/13/2017
Last updated
10/13/2017
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