MR. Kenneth Kriss Goodrow II, MS, LPCC, NCC, CCMHC
NPI #1932200417 in Corrales, New Mexico
Provider Information
- NPI Number
- 1932200417
- Entity Type
- Individual
- Name
- MR. Kenneth Kriss Goodrow II, MS, LPCC, NCC, CCMHC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community/Behavioral Health
- Credential
- MS, LPCC, NCC, CCMHC
- Enumeration Date
- Sep 26, 2006
- Last Updated
- Nov 14, 2024
Practice Location
- Address
- 3949 CORRALES RD STE 105
- City
- Corrales
- State
- New Mexico
- ZIP Code
- 87048-9347
- Phone
- (505) 239-7459
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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