DESTINY ROSE GOODSON

GRUNDY, VA
NPI1295438984
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA  0709025109)
Enumeration Date2023-03-23
Last Update Date2024-03-22
Business Address
DESTINY ROSE GOODSON CSAC Supervisee
1520 SLATE CREEK RD STE 201
GRUNDY, VA 24614-6975
Phone number: 276-242-2001
Mailing Address
DESTINY ROSE GOODSON CSAC Supervisee
1520 SLATE CREEK RD STE 201
GRUNDY, VA 24614-6975
Phone number: 276-242-2001