Individual
PATRICK THOMAS GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MC, LPC
Contact information
Practice address
1511 E EDGEMONT AVE, PHOENIX, AZ 85006-1131
(602) 274-3128
Mailing address
1511 E EDGEMONT AVE, PHOENIX, AZ 85006-1131
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-10081
AZ
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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