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Terry Goodspeed
Addiction (Substance Use Disorder) Counselor in Independence, Kansas
NPI 1427150309

Terry Goodspeed is an Addiction (Substance Use Disorder) Counselor based in Independence, KS and is specialized in Addiction (Substance Use Disorder). Terry Goodspeed practices in Independence, KS. The NPI Number for Terry Goodspeed is 1427150309 and holds a License No. 1903 (Kansas).

The current practice location address for Terry Goodspeed is 3751 W Main St, Independence, KS and can be reached out via phone at 620-331-1748. You can also correspond with Terry Goodspeed through the mailing address at PO BOX 688, INDEPENDENCE, KS - 67301-0688 (mailing address contact number: ).

Location: 3751 W Main St, Independence, KS, 67301-0688
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427150309
Provider Name
Terry Goodspeed
Credential
Provider Entity Type
Individual
Gender
Male
Address
3751 W Main St, Independence, KS, 67301-0688
Phone Number
620-331-1748
Fax Number
Provider Enumeration Date
09/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
069573 01 KS MEDICARE PTAN
100322170B 05 KS
institution
Provider Business Practice Location Address Details
Address
3751 W Main St
City
Independence
State
Kansas
Zip
67301-8446
Phone Number
620-331-1748
Fax Number
person
Provider Business Mailing Address Details
Address
3751 W Main St
City
Independence
State
Kansas
Zip
67301-8446
Phone Number
620-331-1748
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
LCAC 300 (Kansas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
1903 (Kansas)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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