Individual
CHELSEA LYN GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1131 WOODSIDE BLVD, HAILEY, ID 83333-4957
(208) 309-3614
Mailing address
1131 WOODSIDE BLVD, HAILEY, ID 83333-4957
(208) 309-3614
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-9483
ID
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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