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Vicki Goodman, LMFT

Marriage & Family Therapist in San Rafael, CA. Individual provider (NPI-1).

NPI number1083001044
StatusActive
Last updated in NPPESApr 16, 2015

Details

NPI
1083001044
Entity type
Individual (NPI-1)
Name
Vicki Goodman
Credential
LMFT
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 16, 2015
Last updated
Apr 16, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist82028CAYes

Practice location

537 Biscayne Dr
San Rafael, CA 94901-8322

Phone 415-302-9564

Mailing address

537 Biscayne Dr
San Rafael, CA 94901-8322

Phone 415-302-9564

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