Individual
SAVANNAH MARIE GOUDREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1341 W MOCKINGBIRD LN STE 500E, DALLAS, TX 75247-4937
(214) 862-0958
Mailing address
4400 HYER ST, DALLAS, TX 75205-1051
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
85148
TX
101YP2500X
Professional Counselor
85148
TX
Other
Enumeration date
01/24/2023
Last updated
03/09/2023
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