Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DESTINY ROSE GOODSON, CSAC SUPERVISEE
ActiveDESTINY ROSE GOODSON, CSAC SUPERVISEE is a Addiction (Substance Use Disorder) Counselor healthcare provider located in GRUNDY, Virginia. NPI 1295438984 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · GRUNDY, VA
Registration Details
- NPI Number
- 1295438984
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 23, 2023 (3.4422072899535 yrs)
- Last Updated
- Mar 22, 2024
- License
-
0709025109 (VA)
Practice Information
- Address
-
1520 SLATE CREEK RD STE 201GRUNDY, VA, 246146975Browse VA providers · Browse ZIP 24614
- Phone
- 2762422001
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
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.