Individual
DENISE GOOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW, LCDC III
Contact information
Practice address
4321 GREEN RD, HIGHLAND HILLS, OH 44128-4884
(216) 464-6032
Mailing address
17325 LOTUS DR, CLEVELAND, OH 44128-2549
(216) 802-8588
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.101046
OH
101YM0800X
Mental Health Counselor
Primary
I.1302427-SUPV
OH
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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