Individual
CINDY SHARON GOETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
1055 9TH AVE STE D, LONGVIEW, WA 98632-2661
(360) 575-3315
Mailing address
1028 19TH AVE, LONGVIEW, WA 98632-2213
(360) 749-0258
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00002160
WA
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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