IMMAGEN GOODMAN

ROSEVILLE, CA
NPI1841187739
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2025-06-23
Last Update Date2025-12-08
Business Address
IMMAGEN GOODMAN
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661-4480
Phone number: 916-774-6647
Mailing Address
IMMAGEN GOODMAN
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661-4480
Phone number: 916-774-6647
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