Vicki Goodman

NPI #1003237991 in Provo, Utah

Provider Information

NPI Number: 1003237991
Entity Type: Individual
Name: Vicki Goodman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Dec 19, 2013
Last Updated: Dec 19, 2013

Practice Location

Address: 619 N 500 W
City: Provo
State: Utah
ZIP Code: 84601-1547
Phone: (801) 420-0465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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