Individual
DECEMBER L GOAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
50 AL HENDERSON BLVD, SAVANNAH, GA 31419-6001
(912) 417-5787
Mailing address
4217 ACCOMACK DR, LOUISVILLE, KY 40241-1829
(914) 417-5787
(855) 951-0188
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
102156
KY
101YM0800X
Mental Health Counselor
Primary
LPC009595
GA
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100298630
—
KY
Enumeration date
01/31/2013
Last updated
06/07/2024
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