JASON HAYES GOODWIN

COEUR D'ALENE, ID
NPI1174621627
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: ID  LPC-3639)
Enumeration Date2006-09-20
Last Update Date2011-08-04
Business Address
Mr. JASON HAYES GOODWIN LCPC, CDAC
1417 N. 4TH ST.
COEUR D'ALENE, ID 83814
Phone number: 208-292-2188
Mailing Address
Mr. JASON HAYES GOODWIN LCPC, CDAC
1417 N. 4TH ST.
COEUR D'ALENE, ID 83814
Phone number: 208-292-2188