Individual
JANA MARIE GOODERMONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2025 25TH AVE S, MINNEAPOLIS, MN 55406-1016
(612) 338-2051
(612) 341-9320
Mailing address
2025 25TH AVE S, MINNEAPOLIS, MN 55406-1016
(612) 338-2051
(612) 341-9320
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1113
MN
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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