Individual
MR. ANDRE GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-A
Contact information
Practice address
4116 RUSTY MILL DR, ELGIN, SC 29045-8020
(803) 920-7278
Mailing address
4116 RUSTY MILL DR, ELGIN, SC 29045-8020
(803) 920-7278
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10193
SC
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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