Individual
JODY A. GOODWINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
2619 W 11TH STREET RD, SUITE #23, GREELEY, CO 80634-5464
(970) 351-6900
(970) 351-7165
Mailing address
2619 W 11TH STREET RD, SUITE #23, GREELEY, CO 80634-5464
(970) 351-6900
(970) 351-7165
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2052
CO
101YP2500X
Professional Counselor
Primary
2052
CO
Other
Enumeration date
09/25/2005
Last updated
09/11/2025
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