Individual
MISS KRISTEN DAYLE GOODREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
4800 COYLE RD, UNIT 407, OWINGS MILLS, MD 21117-5094
(609) 827-6091
Mailing address
4800 COYLE RD, UNIT 407, OWINGS MILLS, MD 21117-5094
(609) 827-6091
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC4828
MD
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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