MS. Jessamyn K Goodwin, LAC

NPI #1760100069 in West Fork, Arkansas

Provider Information

NPI Number: 1760100069
Entity Type: Individual
Name: MS. Jessamyn K Goodwin, LAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LAC
Enumeration Date: Aug 22, 2022
Last Updated: Aug 22, 2022

Practice Location

Address: 55 DOGWOOD LN
City: West Fork
State: Arkansas
ZIP Code: 72774-3025
Phone: (479) 263-5662

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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Organizations

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