Individual
SHAUNA GOODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM, CADC-R
Contact information
Practice address
1235 MAIN ST, SWEET HOME, OR 97386-1609
(541) 818-0379
(541) 995-5013
Mailing address
230 N 3RD ST STE 105, HARRISBURG, OR 97446-9679
(541) 998-5660
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1669092201
OR
Other
Enumeration date
07/26/2024
Last updated
10/07/2024
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