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Aviva Rachel Goodman
Mental Health Counselor in Great Neck, New York
NPI 1093430480

Aviva Rachel Goodman is a Mental Health Counselor based in Great Neck, NY and is specialized in Mental Health. Aviva Rachel Goodman practices in Great Neck, NY. The NPI Number for Aviva Rachel Goodman is 1093430480 and holds a License No. LC11018 (New York).

The current practice location address for Aviva Rachel Goodman is 1000 Northern Blvd Ste 114, Great Neck, NY and can be reached out via phone at 443-255-6485.

Location: 1000 Northern Blvd Ste 114, Great Neck, NY, 11021-5312
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093430480
Provider Name
Aviva Rachel Goodman
Credential
Provider Entity Type
Individual
Gender
Female
Address
1000 Northern Blvd Ste 114, Great Neck, NY, 11021-5312
Phone Number
443-255-6485
Fax Number
Provider Enumeration Date
10/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1000 Northern Blvd Ste 114
City
Great Neck
State
New York
Zip
11021-5312
Phone Number
443-255-6485
Fax Number
person
Provider Business Mailing Address Details
Address
1000 Northern Blvd Ste 114
City
Great Neck
State
New York
Zip
11021-5312
Phone Number
443-255-6485
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LC11018 (Maryland)
Definition
Definition to come...
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