DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JASON HAYES GOODWIN, LCPC, CDAC

Active

MR. JASON HAYES GOODWIN, LCPC, CDAC is a Professional Counselor healthcare provider located in COEUR D'ALENE, Idaho. NPI 1174621627 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · COEUR D'ALENE, ID

Registration Details

NPI Number
1174621627
Provider Type
Individual
Gender
Male
NPI Issued
Sep 20, 2006 (19.8908158137 yrs)
Last Updated
Aug 4, 2011
License
LPC-3639 (ID)

Practice Information

Address
1417 N. 4TH ST.
COEUR D'ALENE, ID, 83814
Browse ID providers · Browse ZIP 83814
Phone
2082922188
Fax
2082922189
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in COEUR D'ALENE, ID

Name Credential NPI
MICHELE JEAN UNSWORTH LCPC 1366480956
SUSAN MARIE HOLASEK LCPC 1043425473
DR. ROMAN K POPLAWSKI PH.D. 1689806481
LINDSAY NELSON LPC 1699596312
FRANCESCA TERRACCIANO LPC 1578445276
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.