KEVIN MICHAL ANDREW GOODMAN

GROVER BEACH, CA
NPI1306137005
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  104925)
Enumeration Date2011-04-28
Last Update Date2025-02-28
Business Address
KEVIN MICHAL ANDREW GOODMAN
1523 LONGBRANCH AVE
GROVER BEACH, CA 93433-2508
Phone number: 805-473-7006
Mailing Address
KEVIN MICHAL ANDREW GOODMAN
2180 JOHNSON AVE
SAN LUIS OBISPO, CA 93401-4558
Phone number: 805-781-4973
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