Marty Dean Goodman
Counselor in Knoxville, TN. Individual provider (NPI-1).
NPI number1003537366
StatusActive
Last updated in NPPESSep 6, 2022
Details
- NPI
- 1003537366
- Entity type
- Individual (NPI-1)
- Name
- Marty Dean Goodman
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2022
- Certification date
- Sep 2, 2022
- Last updated
- Sep 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
1451 Dowell Springs BlvdKnoxville, TN 37909-2441
Phone 865-970-9800
Mailing address
1451 Dowell Springs BlvdKnoxville, TN 37909-2441
Phone 865-970-9800
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