Individual
LISA M GOODAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
700 WHEATLEY RD, ASHLAND, KY 41101-2348
(606) 327-1732
Mailing address
700 WHEATLEY RD, ASHLAND, KY 41101-2348
(606) 327-1732
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C. 0600446
OH
101YM0800X
Mental Health Counselor
1570
KY
101YP2500X
Professional Counselor
Primary
1570
KY
Other
Enumeration date
06/08/2011
Last updated
02/29/2016
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