Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JESSAMYN K GOODWIN, LAC
Active Sole ProprietorMS. JESSAMYN K GOODWIN, LAC is a Mental Health Counselor healthcare provider located in WEST FORK, Arkansas. NPI 1760100069 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · WEST FORK, AR
Registration Details
- NPI Number
- 1760100069
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 22, 2022 (3.9387790544256 yrs)
- Last Updated
- Aug 22, 2022
- License
-
A2010142 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
55 DOGWOOD LNWEST FORK, AR, 727743025Browse AR providers · Browse ZIP 72774
- Phone
- 4792635662
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in WEST FORK, AR
| Name | Credential | NPI |
|---|---|---|
| ALEXANDRA BROWN | LPCA | 1972262210 |
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.