Individual
ANNETTE J GOODYEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
103 W 3RD ST STE F, KALKASKA, MI 49646-5107
(231) 735-1076
Mailing address
PO BOX 1092, KALKASKA, MI 49646-1092
(231) 735-1076
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401013046
MI
Other
Enumeration date
06/05/2012
Last updated
09/17/2023
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