Individual
JOHN WESLEY GOODWIN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
2015 AYRSLEY TOWN BLVD STE 202, CHARLOTTE, NC 28273-4068
(704) 412-1407
(704) 971-9192
Mailing address
5015 STOWE DERBY DR, CHARLOTTE, NC 28278-7377
(704) 701-4463
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
15374
NC
Other
Enumeration date
01/30/2020
Last updated
09/09/2025
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