Individual
DANA GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
407 LA BELLE LN, MONONA, WI 53716-3825
(608) 239-2709
Mailing address
407 LA BELLE LN, MONONA, WI 53716-3825
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5381-125
WI
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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