Individual
CHRISTIAN GOLDSMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 VANDIVER DR STE Y, COLUMBIA, MO 65202-3918
(573) 449-8338
Mailing address
19488 STACEY CT, BOONVILLE, MO 65233-3537
(660) 537-3544
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8489
MO
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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