Goodreau, Kristen Dayle
Goodreau, Kristen Dayle is an sole proprietor health care provider with primary practice located at 4800 Coyle Rd Unit 407, Owings Mills MD 21117-5094. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Goodreau, Kristen Dayle can be contacted via phone (609) 827-6091.Contact Information
Primary practice address
4800 Coyle Rd Unit 407
Owings Mills MD 21117-5094
Phone: (609) 827-6091
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC4828 | Maryland |
Profile Details
| NPI number | 1801293410 |
|---|---|
| LBN Legal business name | Goodreau, Kristen Dayle |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 25th, 2014 |
| Last updated | Nov 25th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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