Individual
CANDICE GOYKHBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LICDC
Contact information
Practice address
7519 MENTOR AVE STE 114, MENTOR, OH 44060
(440) 701-6170
(440) 527-8043
Mailing address
7519 MENTOR AVE STE 114, MENTOR, OH 44060-5410
(440) 701-6170
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
151218
OH
101YM0800X
Mental Health Counselor
C0900607
OH
101YP2500X
Professional Counselor
Primary
E.2303852
OH
Other
Enumeration date
02/10/2016
Last updated
11/27/2023
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