Meshaw Deon Gooden
Counselor in Atlanta, GA. Individual provider (NPI-1).
NPI number1548035009
StatusActive
Last updated in NPPESDec 4, 2023
Details
- NPI
- 1548035009
- Entity type
- Individual (NPI-1)
- Name
- Meshaw Deon Gooden
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 15, 2023
- Certification date
- Dec 4, 2023
- Last updated
- Dec 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 059931391 | GA | Yes |
Practice location
900 Battery Ave Se Unit 606Atlanta, GA 30339-2848
Phone 901-857-0587
Mailing address
900 Battery Ave Se Unit 606Atlanta, GA 30339-2848
Phone 901-857-0587
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