MR. Larry James Goodale, FAODP

NPI #1932251857 in Richmond, Michigan

Provider Information

NPI Number: 1932251857
Entity Type: Individual
Name: MR. Larry James Goodale, FAODP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: FAODP
Enumeration Date: Jan 18, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 400 STODDARD RD
City: Richmond
State: Michigan
ZIP Code: 48062-2505
Phone: (810) 392-2167

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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