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

MR. DE'RESE ZYIRE GOODEN, NCC, LCMHC, CCHT

Active Sole Proprietor

MR. DE'RESE ZYIRE GOODEN, NCC, LCMHC, CCHT is a 405300000X healthcare provider located in DAYTON, Ohio. NPI 1265957914 is currently active in the NPPES registry. Verify at CMS.

405300000X · DAYTON, OH

Registration Details

NPI Number
1265957914
Provider Type
Individual
Gender
Male
NPI Issued
Aug 3, 2017 (8.8434767788718 yrs)
Last Updated
Jan 5, 2025
Licenses
C.1700611 (OH)
11725 (OH)
C.1700611 (OH)
Sole Proprietor
Yes

Practice Information

Address
31 S MAIN ST
DAYTON, OH, 454022070
Browse OH providers · Browse ZIP 45402
Phone
9378601038
Fax
2702030587
Primary Specialty
405300000X
405300000X
Additional Specialty
Mental Health Counselor
Additional Specialty
Professional Counselor
Additional Specialty
Psychoanalyst
Additional Specialty
405300000X

Other 405300000X Providers in DAYTON, OH

Name Credential NPI
MEARL J HODGES RA, CPC, D-MIN 1922586965
MARLIN L DILLARD 1770117954
MICHELLE JOHNSON CDCA , OCPSA 1295492759
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.