Individual
JENNIFER GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, LMHC
Contact information
Practice address
9040 JACKSON AVE, MAMC, DOBH, C/L, TACOMA, WA 98431-1000
(253) 968-5119
Mailing address
MADIGAN, 9040 JACKSON AVE, TACOMA, WA 98431
(509) 850-7552
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LH60014836
WA
1041C0700X
Clinical Social Worker
Primary
LW60278449
WA
Other
Enumeration date
09/13/2012
Last updated
08/24/2017
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