MR. Jason Hayes Goodwin, LCPC, CDAC
NPI #1174621627 in Coeur D'alene, Idaho
Provider Information
- NPI Number
- 1174621627
- Entity Type
- Individual
- Name
- MR. Jason Hayes Goodwin, LCPC, CDAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LCPC, CDAC
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Aug 4, 2011
Practice Location
- Address
- 1417 N. 4TH ST.
- City
- Coeur D'alene
- State
- Idaho
- ZIP Code
- 83814
- Phone
- (208) 292-2188
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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