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NPI Profile for Dr ANGEL L GOODEN in CORDOVA, TN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Case Manager/Care Coordinator |
171M00000X | |||
Counselor |
101Y00000X | |||
Health & Wellness Coach |
171400000X | |||
Mental Health |
101YM0800X |
| NPI Number | 1649985664 |
|
| Status | Active | |
| Credentials | LPC-MHSP, PSYD | |
| Entity | Individual | |
| Enumeration date | 01/16/2023 | |
| Last updated | 01/16/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ANGEL L GOODEN
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ANGEL L GOODEN, LPC-MHSP, PSYD