Vicki Goodman LMFT

NPI 1083001044 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1083001044
Gender Female
Enumeration Date 04/16/2015
Last Updated 04/16/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
537 BISCAYNE DR
SAN RAFAEL CA, 94901-8322, US
Phone (415) 302-9564
Fax
Business Location
537 BISCAYNE DR
SAN RAFAEL CA, 94901-8322, US
Phone (415) 302-9564
Fax
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number 82028
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According to our database, Vicki Goodman LMFT NPI is 1083001044, taxonomy code is 106H00000X and license number is 82028, license state is located at California. Vicki Goodman LMFT physically located at 537 Biscayne Dr, San Rafael CA, 94901-8322. NPI Number Vicki Goodman LMFT has the Individual type.

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1083001044 NPI number is provided on an as is basis without warranty of any kind. 1083001044 is maintained by the National Plan & Provider Enumeration System. The contents of Vicki Goodman LMFT are for informational purposes only.