MICHAEL LEE GOODMAN

DENVER, CO
NPI1609133768
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  6461)
Enumeration Date2012-04-13
Last Update Date2012-04-13
Business Address
-- MICHAEL LEE GOODMAN CAC
777 BANNOCK ST UNIT 9
DENVER, CO 80204-4507
Phone number: 303-436-5686
Mailing Address
-- MICHAEL LEE GOODMAN CAC
777 BANNOCK ST UNIT 9
DENVER, CO 80204-4507
Phone number: 303-436-5686
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