Individual
ELIZABETH A GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCC
Contact information
Practice address
3659 S. GREEN RD, 100, BEACHWOOD, OH 44122
(216) 390-4944
Mailing address
3659 GREEN RD, STE. 100, BEACHWOOD, OH 44122-5727
(216) 390-4944
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E 1000076
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E 1000076
CSWMFT
OH
Enumeration date
06/04/2013
Last updated
06/26/2014
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