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Individual

JEFFREY N GOODMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
213 E CHESTNUT ST, MOUNT VERNON, OH 43050-3404
(740) 326-9255
Mailing address
213 E CHESTNUT ST, MOUNT VERNON, OH 43050-3404
(740) 326-9255

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.168596
OH

Other

Enumeration date
11/28/2018
Last updated
11/28/2018
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