Individual
EMILY GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
940 LASLEY DR, LEBANON, IN 46052-1480
(888) 714-1927
Mailing address
3734 W COUNTY ROAD 200 S, FRANKFORT, IN 46041-8281
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
99131245A
IN
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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