Individual
ANDREA M GOYETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
301 N GARTH AVE, COLUMBIA, MO 65203-4107
(573) 449-3953
(573) 874-3189
Mailing address
117 N GARTH AVE, COLUMBIA, MO 65203-4103
(573) 443-2204
(573) 875-5851
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
002259
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649269622
BILLING NPI
MO
01
—
179873
BCBS
MO
Enumeration date
07/19/2005
Last updated
07/13/2007
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