Individual
CHEYENNE GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4911 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-6171
(405) 605-3093
Mailing address
619 N BICKFORD AVE, EL RENO, OK 73036-1911
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/11/2006
Last updated
03/31/2010
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