Individual
HONNIE D GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
125 PRESUMPSCOT ST, PORTLAND, ME 04103-5225
(207) 871-1000
Mailing address
56 RYDER RD, YARMOUTH, ME 04096-7566
(207) 871-1000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL4379
ME
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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