Individual
KIMBERLY GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
733 THIMBLE SHOALS BLVD STE 170, NEWPORT NEWS, VA 23606-4260
(757) 240-5595
(757) 240-5596
Mailing address
733 THIMBLE SHOALS BLVD STE 170, NEWPORT NEWS, VA 23606-4260
(757) 240-5595
(757) 240-5596
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701005762
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701005762
LICENSED PROFESSIONAL COUNSELOR
VA
Enumeration date
04/15/2014
Last updated
04/15/2014
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