Goodine Counseling Ltd | |
1050 Circle Dr Ste B Green Bay WI 54304-5569 | |
(920) 660-9797 | |
Not Available |
Full Name | Goodine Counseling Ltd |
---|---|
Speciality | Counselor - Professional |
Location | 1050 Circle Dr Ste B, Green Bay, Wisconsin |
Authorized Official Name and Position | Deborah A Goodine (PRESIDENT) |
Authorized Official Contact | 9206609797 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Goodine Counseling Ltd 2123 Nellie Ln Green Bay WI 54311-6068 Ph: (920) 660-9797 | Goodine Counseling Ltd 1050 Circle Dr Ste B Green Bay WI 54304-5569 Ph: (920) 660-9797 |
NPI Number | 1003513839 |
---|---|
Provider Enumeration Date | 02/13/2023 |
Last Update Date | 02/13/2023 |
Certification Date | 02/13/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003513839 | NPI | - | NPPES |
100044216 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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