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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 Proprietor

MR. 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 105
CORRALES, NM, 870489347
Browse 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.