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Priscilla Anne Goodwin, PROFFOSTERHOME
Counselor in Mesa, Arizona
NPI 1669528949

Priscilla Anne Goodwin is a Counselor based in Mesa, AZ. Priscilla Anne Goodwin practices in Mesa, AZ and has the professional credentials of PROFFOSTERHOME. The NPI Number for Priscilla Anne Goodwin is 1669528949 and holds a License No. 5102 (Arizona).

The current practice location address for Priscilla Anne Goodwin is 1710 S 74Th St, Mesa, AZ and can be reached out via phone at 480-981-5555.

Location: 1710 S 74Th St, Mesa, AZ, 85209-4136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669528949
Provider Name
Priscilla Anne Goodwin
Credential
PROFFOSTERHOME
Provider Entity Type
Individual
Gender
Female
Address
1710 S 74Th St, Mesa, AZ, 85209-4136
Phone Number
480-981-5555
Fax Number
Provider Enumeration Date
01/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5102 01 AZ PROF. FOSTER HOME
institution
Provider Business Practice Location Address Details
Address
1710 S 74Th St
City
Mesa
State
Arizona
Zip
85209-4136
Phone Number
480-981-5555
Fax Number
person
Provider Business Mailing Address Details
Address
1710 S 74Th St
City
Mesa
State
Arizona
Zip
85209-4136
Phone Number
480-981-5555
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
5102 (Arizona)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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