Individual
MARK C GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
95 PLEASANT STREET, LYNN, MA 01901
(781) 809-4104
Mailing address
95 PLEASANT STREET, LYNN, MA 01901
(781) 809-4104
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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