person
Mrs. Tasha M Gooden
Addiction (Substance Use Disorder) Counselor in Charlotte, North Carolina
NPI 1811220692

Tasha M Gooden is an Addiction (Substance Use Disorder) Counselor based in Tulsa, NC and is specialized in Addiction (Substance Use Disorder). Tasha M Gooden practices in Charlotte, NC. The NPI Number for Tasha M Gooden is 1811220692 and holds a License No. (North Carolina).

The current practice location address for Tasha M Gooden is 6115 Hickory Grove Rd, Charlotte, NC and can be reached out via phone at 704-532-4262 and via fax at 704-532-7617.

Location: 6115 Hickory Grove Rd, Charlotte, NC, 74120-4429
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Provider Profile Details
NPI Number
1811220692
Provider Name
Tasha M Gooden
Credential
Provider Entity Type
Individual
Gender
Female
Address
6115 Hickory Grove Rd, Charlotte, NC, 74120-4429
Phone Number
704-532-4262
Fax Number
704-532-7617
Provider Enumeration Date
09/11/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100746170G 05 OK
institution
Provider Business Practice Location Address Details
Address
6115 Hickory Grove Rd
City
State
Zip
28215-4207
Phone Number
704-532-4262
Fax Number
704-532-7617
person
Provider Business Mailing Address Details
Address
6115 Hickory Grove Rd
City
State
Zip
28215-4207
Phone Number
704-532-4262
Fax Number
704-532-7617
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
25979 (North Carolina)
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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