Individual
ALYSSA GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
660 TURNER DR, LOUISVILLE, IL 62858-1048
(000) 000-0000
Mailing address
660 TURNER DR, LOUISVILLE, IL 62858-1048
(618) 599-2667
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180010544
IL
Other
Enumeration date
10/18/2016
Last updated
04/10/2025
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