person
Mr. Russell J Goodwin, LPC,LICDC
Professional Counselor in Beachwood, Ohio
NPI 1972613271

Russell J Goodwin is a Professional Counselor based in Beachwood, OH and is specialized in Professional. Russell J Goodwin practices in Beachwood, OH and has the professional credentials of LPC,LICDC. The NPI Number for Russell J Goodwin is 1972613271 and holds a License No. 83884 (Ohio).

The current practice location address for Russell J Goodwin is 23240 Chagrin Blvd., Beachwood, OH and can be reached out via phone at 216-292-6007 and via fax at 216-292-7352.

Location: 23240 Chagrin Blvd., Beachwood, OH, 44122-5404
person
Provider Profile Details
NPI Number
1972613271
Provider Name
Russell J Goodwin
Credential
LPC,LICDC
Provider Entity Type
Individual
Gender
Male
Address
23240 Chagrin Blvd., Beachwood, OH, 44122-5404
Phone Number
216-292-6007
Fax Number
216-292-7352
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
23240 Chagrin Blvd.
City
State
Zip
44122-5404
Phone Number
216-292-6007
Fax Number
216-292-7352
person
Provider Business Mailing Address Details
Address
23240 Chagrin Blvd.
City
State
Zip
44122-5404
Phone Number
216-292-6007
Fax Number
216-292-7352
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
C005220 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
83884 (Ohio)
Definition
Definition to come...
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