Individual
LISA KAY GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OCPS, CDCA, TTS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.140626
OH
405300000X
Prevention Professional
Primary
OCPS.161433
OH
Other
Enumeration date
03/09/2016
Last updated
09/06/2023
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