Alicia Goodman is a Professional in Portage, Wisconsin. Alicia Goodman practices all healthcare services and medical treatments related to Professional. The NPI Number for Alicia Goodman is 1588856645. The last update date is 2007-08-13.
Alicia Goodman's current location address is 2901 Hunters Trl, Portage, Wisconsin. You can contact this provider via phone number 6087425518 and fax number 6087424087. The mailing address for Alicia Goodman is 2901 Hunters Trl, Portage, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alicia Goodman |
|---|---|
| Address | 2901 Hunters Trl, Portage, Wisconsin |
| Phone Number | 6087425518 |
| Fax Number | 6087424087 |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1588856645 |
|---|---|
| Provider Enumeration Date | 2007-08-13 |
| Last Updated Date | 2007-08-13 |
Provider Mailing Address Detail
| Address | 2901 Hunters Trl |
|---|---|
| City | Portage |
| State | Wisconsin (WI) |
| Post Code | 539013403 |
| Phone Number | 6087425518 |
| Fax Number | 6087424087 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 3676-125 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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What is the unique identifier code issued to Alicia Goodman by the Centers for Medicare & Medicaid Services?
The Alicia Goodman has been assigned the NPI (National Provider Identifier) 1588856645. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Alicia Goodman?
The Alicia Goodman is situated at 2901 Hunters Trl, in the city of Portage, state of WI, with the zip code 539013403.
What is Alicia Goodman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Alicia Goodman's specialized field of practice is Professional, and the corresponding taxonomy code that categorizes this area of specialization is 101Yp2500X.
When did the Alicia Goodman receive its 1588856645?
The Alicia Goodman was issued its 1588856645 on 2007-08-13, which is the date when the organization was assigned this unique identifier.
When was the information regarding Alicia Goodman most recently updated?
The details pertaining to the Alicia Goodman, including its address, specialty, and other relevant information, were last refreshed on 2007-08-13.