Individual
ASHLEY GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LADC, MAC
Contact information
Practice address
3636 PICKETT PARK HWY, JAMESTOWN, TN 38556-5881
(931) 879-9454
Mailing address
3636 PICKETT PARK HWY, JAMESTOWN, TN 38556-5881
(931) 879-9454
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1314
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730687104
TYPE 2 NPI
—
Enumeration date
05/02/2019
Last updated
05/02/2019
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