Individual
MELLISA GOODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
4422 E COLUMBUS DR, TAMPA, FL 33605-3233
(813) 708-8427
Mailing address
7208 LAKES DIVIDE RD, APT 8, TEMPLE TERRACE, FL 33637-5650
(813) 708-8427
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT 1787
FL
Other
Enumeration date
04/04/2013
Last updated
04/04/2013
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