Individual
MICHAEL P GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3575 KEITH ST NW, CLEVELAND, TN 37312-4324
(423) 458-6660
Mailing address
3575 KEITH ST NW, CLEVELAND, TN 37312-4324
(423) 458-6660
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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