Individual
KALEEN GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4902 S CEDAR ST, LANSING, MI 48910-5474
(720) 656-8128
Mailing address
6281 ISLAND LAKE DR, EAST LANSING, MI 48823-9734
(720) 656-8128
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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