Individual
MR. WILLIAM RUSSELL GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2780 MORGANTON BLVD SW, LENOIR, NC 28645-8632
(434) 258-7995
Mailing address
127 39TH AVENUE CT NW, HICKORY, NC 28601-9031
(434) 258-7995
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7619
NC
101YM0800X
Mental Health Counselor
7619
NC
Other
Enumeration date
12/15/2009
Last updated
04/20/2010
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