Individual
JOHN GOETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
1251 N BROADWAY, EDMOND, OK 73034-3616
(405) 341-3554
Mailing address
1251 N BROADWAY, EDMOND, OK 73034-3616
(405) 341-3554
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1335
OK
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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