Charles Randall Gooding, SUDP
NPI #1104577162 in Kent, Washington
Provider Information
- NPI Number
- 1104577162
- Entity Type
- Individual
- Name
- Charles Randall Gooding, SUDP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- SUDP
- Enumeration Date
- Jan 12, 2022
- Last Updated
- Jan 12, 2022
Practice Location
- Address
- 23830 PACIFIC HWY S STE 202A
- City
- Kent
- State
- Washington
- ZIP Code
- 98032-7706
- Phone
- (206) 501-5295
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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