Individual
MR. LARRY JAMES GOODALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FAODP
Contact information
Practice address
400 STODDARD RD, RICHMOND, MI 48062-2505
(810) 392-2167
(810) 392-3385
Mailing address
6823 MONROE ST, NORTH BRANCH, MI 48461-9348
(810) 688-3272
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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