Mr. Kevon J Goodrum
Marriage & Family Therapist in Hamden, Connecticut
1831327006- Practice location
- 46 Ridge RD, Hamden, CT 06517-3506
- Phone
- 203-752-8827
- Fax
- —
- Last updated
- April 27, 2024
Kevon Jabarr Goodrum is a Marriage & Family Therapist based in Hamden, CT. Kevon Jabarr Goodrum practices in Hamden, CT. The NPI Number for Kevon Jabarr Goodrum is 1831327006 and holds a License No. MFT001607 (GA). The current practice location address for Kevon Jabarr Goodrum is 46 Ridge RD, Hamden, CT 06517-3506 and can be reached out via phone at 203-752-8827.
Provider Profile Details
- NPI Number
- 1831327006
- Provider Name
- Kevon Jabarr Goodrum
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 46 Ridge RD, Hamden, CT 06517-3506
- Phone Number
- 203-752-8827
- Primary Taxonomy
- Marriage & Family Therapist · 106H00000X
- Sole Proprietor
- No
- Other Names
- Mr. K. Jabarr Goodrum (Other Name)
- Provider Enumeration Date
- June 26, 2009
- Last Update Date
- April 27, 2024
- Certification Date
- April 27, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 46 Ridge RD
Hamden, CT 06517-3506 - City
- Hamden
- State
- Connecticut
- Zip
- 06517-3506
- Phone Number
- 203-752-8827
Provider Business Mailing Address Details
- Address
- 1812 Hidden Springs Walk SE
Smyrna, GA 30082-4254 - City
- Smyrna
- State
- GA
- Zip
- 30082-4254
- Phone Number
- 678-444-4505
License Information
- License Number
- MFT001607
- License State
- GA
- Taxonomy
- Marriage & Family Therapist · 106H00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Marriage & Family Therapists near Hamden, CT
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Frequently Asked Questions
What is the NPI number of Mr. Kevon J Goodrum?
The NPI number of Mr. Kevon J Goodrum is 1831327006. It was assigned on June 26, 2009 and is currently active in the NPPES registry.
What is the specialty of Mr. Kevon J Goodrum?
Mr. Kevon J Goodrum is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in GA under license number MFT001607.
Where does Mr. Kevon J Goodrum practice?
The practice location is 46 Ridge RD, Hamden, CT 06517-3506. The office can be reached at 203-752-8827 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1831327006 directly on the NPPES registry website.