Individual
DR. ANGEL L. GOODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP, PSYD
Contact information
Practice address
2738 DRY WELL CV, CORDOVA, TN 38016-0146
(469) 438-9276
Mailing address
2738 DRY WELL CV, CORDOVA, TN 38016-0146
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
3729
TN
101YP2500X
Professional Counselor
Primary
3729
TN
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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