person
Mrs. Mary Joanne Goodman, CSW,SAC-IT
Addiction (Substance Use Disorder) Counselor in Sheboygan, Wisconsin
NPI 1750942157

Mary Joanne Goodman is an Addiction (Substance Use Disorder) Counselor based in Sheboygan, WI and is specialized in Addiction (Substance Use Disorder). Mary Joanne Goodman practices in Sheboygan, WI and has the professional credentials of CSW,SAC-IT. The NPI Number for Mary Joanne Goodman is 1750942157 and holds a License No. 18913-130 (Wisconsin).

The current practice location address for Mary Joanne Goodman is 2842 S Business Dr, Sheboygan, WI and can be reached out via phone at 920-458-6527 and via fax at 920-458-6623.

Location: 2842 S Business Dr, Sheboygan, WI, 53081-6518
person
Provider Profile Details
NPI Number
1750942157
Provider Name
Mary Joanne Goodman
Credential
CSW,SAC-IT
Provider Entity Type
Individual
Gender
Female
Address
2842 S Business Dr, Sheboygan, WI, 53081-6518
Phone Number
920-458-6527
Fax Number
920-458-6623
Provider Enumeration Date
06/26/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100013835 05 WI
institution
Provider Business Practice Location Address Details
Address
2842 S Business Dr
City
State
Zip
53081-6518
Phone Number
920-458-6527
Fax Number
920-458-6623
person
Provider Business Mailing Address Details
Address
2842 S Business Dr
City
State
Zip
53081-6518
Phone Number
920-458-6527
Fax Number
920-458-6623
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
18913-130 (Wisconsin)
Definition
Definition to come...
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