Jill Marie Goeman
Counselor, Addiction (Substance Use Disorder) in Maple Grove, MN. Individual provider (NPI-1).
NPI number1124615752
StatusActive
Last updated in NPPESDec 29, 2020
Details
- NPI
- 1124615752
- Entity type
- Individual (NPI-1)
- Name
- Jill Marie Goeman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 29, 2020
- Certification date
- Dec 29, 2020
- Last updated
- Dec 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
13603 80th Cir NMaple Grove, MN 55369-8961
Phone 763-274-3120
Mailing address
3501 Xenium Ln N Apt 106Plymouth, MN 55441-2222
Phone 763-656-3025
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Other Addiction (Substance Use Disorder) Counselor providers in Maple Grove, MN
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All 25 Addiction (Substance Use Disorder) Counselor providers in Maple Grove · All 2,061 providers in Maple Grove
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