Individual
CHARITY CHERI GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
186 E 1800 N, NORTH LOGAN, UT 84341
(435) 213-3062
(435) 752-1095
Mailing address
186 E 1800 N, NORTH LOGAN, UT 84341
(435) 213-3062
(435) 752-1095
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5792010-6004
UT
Other
Enumeration date
09/12/2014
Last updated
09/05/2018
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