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Katie L Goden, RSA

Counselor, Mental Health in Dixon, IL. Individual provider (NPI-1).

NPI number1982248464
StatusActive
Last updated in NPPESOct 29, 2019

Details

NPI
1982248464
Entity type
Individual (NPI-1)
Name
Katie L Goden
Credential
RSA
Sex
Female
Sole proprietor
No
Enumeration date
Oct 29, 2019
Last updated
Oct 29, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Other names

  • Katie Anderson (Former Name)

Practice location

325 Rte 2
Dixon, IL 61021-9118

Phone 410-919-3536

Mailing address

325 Rte 2
Dixon, IL 61021-9118

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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