Individual
AMY ELIZABETH GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9844 LORI RD STE 100, CHESTERFIELD, VA 23832-6691
(804) 706-1111
(804) 706-1185
Mailing address
9844 LORI RD STE 100, CHESTERFIELD, VA 23832-6691
(804) 706-1111
(804) 706-1185
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701005151
VA
Other
Enumeration date
12/28/2011
Last updated
05/24/2022
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