Mr. JASON HAYES GOODWIN -- LCPC, CDAC
Individual Provider (NPI-1)
Active
Counselor, Professional
Provider Information
- NPI Number
1174621627- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LCPC, CDAC
- Status
- Active
Contact & Location
- Address
- 1417 N. 4TH ST., COEUR D'ALENE, ID, 83814
- Phone
- (208) 292-2188
- Fax
- (208) 292-2189
Specialties & Taxonomies
Counselor, Professional
Primary License: ID #LPC-3639