Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH KRISS GOODROW II, MS, LPCC, NCC, CCMHC
Active Sole ProprietorMR. KENNETH KRISS GOODROW II, MS, LPCC, NCC, CCMHC is a Community/Behavioral Health healthcare provider located in CORRALES, New Mexico. NPI 1932200417 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · CORRALES, NM
Registration Details
- NPI Number
- 1932200417
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 26, 2006 (19.737411315497 yrs)
- Last Updated
- Nov 14, 2024
- License
-
0078151 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3949 CORRALES RD STE 105CORRALES, NM, 870489347Browse NM providers · Browse ZIP 87048
- Phone
- 5052397459
- Fax
- 5058994060
- Primary Specialty
-
Community/Behavioral Health
251S00000X
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.