Individual
MICHELLE GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
7700 300TH ST NW, STANWOOD, WA 98292-5841
(360) 209-8430
Mailing address
7700 300TH ST NW, STANWOOD, WA 98292-5841
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
SC61559332
WA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
07/18/2023
Last updated
09/17/2025
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