Individual
DR. DARLENE DAVIS GOODWINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP, LCADC, CAADC
Contact information
Practice address
4710 W SAGINAW HWY STE 9, LANSING, MI 48917-2654
(517) 305-0641
Mailing address
1030 BURLINGTON LN STE 5, FRANKFORT, KY 40601-8444
(502) 276-5096
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1135
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
276214
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-03369
MI
103T00000X
Psychologist
Primary
6301018149
MI
103TC0700X
Clinical Psychologist
6301018149
MI
103TC0700X
Clinical Psychologist
P.08296
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100816960
—
KY
Enumeration date
02/08/2011
Last updated
06/09/2022
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