MR. JASON GOODWIN, LCPC, CDAC

Counselor - Professional

Active Individual
NPI: 1174621627

Practice Address

1417 N. 4TH ST.
Coeur D'alene, ID 83814

Phone: (208) 292-2188

Specialties

Specialty Code Primary License
Counselor - Professional 101YP2500X Yes LPC-3639 (ID)

Frequently Asked Questions

NPI 1174621627 is the National Provider Identifier for MR. JASON GOODWIN, LCPC, CDAC, a Counselor - Professional provider located in Coeur D'alene, ID. This NPI was enumerated on September 20, 2006.
MR. JASON GOODWIN, LCPC, CDAC practices at 1417 N. 4TH ST., Coeur D'alene, ID 83814.

Quick Facts

NPI
1174621627
Type
Individual
Enumerated
Sep 20, 2006
Last Updated
Aug 4, 2011

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