Individual
JONATHAN WILLIAM GOODAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
218 MILLEDGEVILLE HWY, GORDON, GA 31031-3827
(478) 290-1374
(478) 864-1288
Mailing address
3155 MILL ST NE, COVINGTON, GA 30014-2542
(678) 712-6520
(678) 712-6521
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007393
GA
Other
Enumeration date
04/03/2023
Last updated
05/17/2024
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