Individual
MRS. MICHELLE D GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS,CADC,CCS,WTS
Contact information
Practice address
3007 KEARSARGE RD, CAMDEN, NJ 08104
(609) 504-9035
(856) 203-3825
Mailing address
3007 KEARSARGE RD, CAMDEN, NJ 08104
(609) 504-9035
(856) 203-3825
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37CA00052300
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC0046700
NJ
Other
Enumeration date
03/25/2013
Last updated
03/25/2013
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