Destiny Rose Goodson, CSAC SUPERVISEE | |
1520 Slate Creek Rd Ste 201, Grundy, VA 24614-6975 | |
(276) 242-2001 | |
Not Available |
Full Name | Destiny Rose Goodson |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 1520 Slate Creek Rd Ste 201, Grundy, Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295438984 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 0709025109 (Virginia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Destiny Rose Goodson, CSAC SUPERVISEE 1520 Slate Creek Rd Ste 201, Grundy, VA 24614-6975 Ph: (276) 242-2001 | Destiny Rose Goodson, CSAC SUPERVISEE 1520 Slate Creek Rd Ste 201, Grundy, VA 24614-6975 Ph: (276) 242-2001 |
Justin C Blackburn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1520 Slate Creek Rd Ste 201, Grundy, VA 24614 Phone: 276-242-2001 Fax: 276-312-8337 | |
Mrs. Susan Buskill Fogg, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19873 Riverside Drive, Grundy, VA 24614 Phone: 276-210-4618 | |
Robert Auville, M.ED., CSAC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19873 Riverside Drive, Grundy, VA 24614 Phone: 276-244-1380 |