Individual
MICHELLE RENEE GOODWILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC, LAC
Contact information
Practice address
2943 E AUSTIN DR, GILBERT, AZ 85296-0594
(602) 582-5124
Mailing address
690 E WARNER RD, SUITE 115, GILBERT, AZ 85296-3054
(480) 444-2434
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC 16387
AZ
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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