Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES RANDALL GOODING, SUDP
Active Sole ProprietorCHARLES RANDALL GOODING, SUDP is a Addiction (Substance Use Disorder) Counselor healthcare provider located in KENT, Washington. NPI 1104577162 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · KENT, WA
Registration Details
- NPI Number
- 1104577162
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 12, 2022 (4.5789492955909 yrs)
- Last Updated
- Jan 12, 2022
- License
-
CP60474403 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
23830 PACIFIC HWY S STE 202AKENT, WA, 980327706Browse WA providers · Browse ZIP 98032
- Phone
- 2065015295
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in KENT, WA
| Name | Credential | NPI |
|---|---|---|
| PHYLLISS MARIE EBERHARDY | MS LMFT CCDCI | 1265515951 |
| TERI MARIA HARDY | SUDP | 1730481680 |
| ANDREW JOHN LINCICOME | CDP | 1639446727 |
| MS. HOLLIE M CHRISTIANCY | BA,CDP | 1497028310 |
| MS. VIVIAN R HANSEN | BS,CDP | 1619241205 |
| MR. DWAYNE C BROWN | CDP | 1962743021 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.