Individual
SHANNON KRISTINE GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
112 N JACKSON ST, ENID, OK 73701-3848
(580) 540-0150
Mailing address
112 N JACKSON ST, ENID, OK 73701-3848
(580) 540-0150
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11414
OK
Other
Enumeration date
01/01/2025
Last updated
01/03/2025
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