Individual
RYAN GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
11301 N 99TH AVE, PEORIA, AZ 85345-5466
(623) 977-8373
Mailing address
16017 S 45TH ST, PHOENIX, AZ 85048-7634
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC 15898
—
Other
Enumeration date
11/03/2015
Last updated
12/12/2015
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