Individual
KRISTINA GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
J.D., M.A.
Contact information
Practice address
12 WALNUT ST APT 5, BOSTON, MA 02108-1408
(917) 756-9792
Mailing address
12 WALNUT ST APT 5, BOSTON, MA 02108-1408
(917) 756-9792
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1705
MA
Other
Enumeration date
10/13/2015
Last updated
10/28/2020
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