Casey Goderum is a Counselor based in Santa Rosa, CA. Casey Goderum practices in Santa Rosa, CA. The NPI Number for Casey Goderum is 1679277099 and holds a License No. (California).
The current practice location address for Casey Goderum is 2720 Hidden Valley Dr, Santa Rosa, CA and can be reached out via phone at 707-328-7513.
Location: 2720 Hidden Valley Dr, Santa Rosa, CA, 95404-1828
Provider Profile Details
NPI Number
1679277099
Provider Name
Casey Goderum
Credential
Provider Entity Type
Individual
Gender
Female
Address
2720 Hidden Valley Dr, Santa Rosa, CA, 95404-1828
Phone Number
707-328-7513
Fax Number
Provider Enumeration Date
03/29/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
2720 Hidden Valley Dr
City
State
Zip
95404-1828
Phone Number
707-328-7513
Fax Number
Provider Business Mailing Address Details
Address
2720 Hidden Valley Dr
City
State
Zip
95404-1828
Phone Number
707-328-7513
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
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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