Individual
JEFFREY D GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.DIV, M.A., LLPC
Contact information
Practice address
430 FAIR ST., TRAVERSE CITY, MI 49686
(231) 392-9687
Mailing address
10716 WATSON RD, WILLIAMSBURG, MI 49690
(231) 392-9687
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401014906
—
101YP2500X
Professional Counselor
6401014906
—
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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