Individual
NATHAN ALAN GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
2688 CALDER ST, BEAUMONT, TX 77702-1917
(409) 813-2206
Mailing address
2688 CALDER ST, BEAUMONT, TX 77702-1917
(409) 813-2206
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16261
TX
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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