Individual
TAYLOR MARIE GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
1046 FAIRFIELD AVE, BRIDGEPORT, CT 06605-1116
(203) 332-6000
Mailing address
31 AUSTIN ST APT 7C, NEW HAVEN, CT 06515-1277
(631) 796-5042
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5770
CT
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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