NPI | 1760053219 |
---|---|
Former Legal Business Name | BEN GOOCH, LCMHC, PLC |
Entity Type | Organization |
Authorized Contact | MITCHELL GOOCH Clinical Mental Health Counselor 503-269-4979 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2021-07-06 |
Last Update Date | 2023-09-28 |