person
Destiny Rose Goodson, CSACSUPERVISEE
Addiction (Substance Use Disorder) Counselor in Grundy, Virginia
NPI 1295438984

Destiny Rose Goodson is an Addiction (Substance Use Disorder) Counselor based in Grundy, VA and is specialized in Addiction (Substance Use Disorder). Destiny Rose Goodson practices in Grundy, VA and has the professional credentials of CSACSUPERVISEE. The NPI Number for Destiny Rose Goodson is 1295438984 and holds a License No. 0709025109 (Virginia).

The current practice location address for Destiny Rose Goodson is 1520 Slate Creek Rd Ste 201, Grundy, VA and can be reached out via phone at 276-242-2001.

Location: 1520 Slate Creek Rd Ste 201, Grundy, VA, 24614-6975
person
Provider Profile Details
NPI Number
1295438984
Provider Name
Destiny Rose Goodson
Credential
CSACSUPERVISEE
Provider Entity Type
Individual
Gender
Female
Address
1520 Slate Creek Rd Ste 201, Grundy, VA, 24614-6975
Phone Number
276-242-2001
Fax Number
Provider Enumeration Date
03/23/2023
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1520 Slate Creek Rd Ste 201
City
State
Zip
24614-6975
Phone Number
276-242-2001
Fax Number
person
Provider Business Mailing Address Details
Address
1520 Slate Creek Rd Ste 201
City
State
Zip
24614-6975
Phone Number
276-242-2001
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0709025109 (Virginia)
Definition
Definition to come...
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