Katie L Goden, RSA

NPI #1982248464 in Dixon, Illinois

Provider Information

NPI Number: 1982248464
Entity Type: Individual
Name: Katie L Goden, RSA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: RSA
Enumeration Date: Oct 29, 2019
Last Updated: Oct 29, 2019

Practice Location

Address: 325 RTE 2
City: Dixon
State: Illinois
ZIP Code: 61021-9118
Phone: (410) 919-3536

Specialties & Taxonomy Codes

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

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