| Kim Goodhand, | |
|
111 Bucklin St Ste 1, La Salle, IL 61301-2382 | |
| (815) 780-0690 | |
| Not Available |
| Full Name | Kim Goodhand |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 111 Bucklin St Ste 1, La Salle, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063107712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 35598 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Goodhand, 111 Bucklin St Ste 1, La Salle, IL 61301-2382 Ph: (815) 780-0690 | Kim Goodhand, 111 Bucklin St Ste 1, La Salle, IL 61301-2382 Ph: (815) 780-0690 |
Walter Fasken, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Bucklin St Ste 1, La Salle, IL 61301 Phone: 815-780-0690 | |
Mary E Zelenski, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 542 Crosat St, La Salle, IL 61301 Phone: 815-223-4007 Fax: 815-224-4550 | |
Ms. Pamela F Wolf, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 146 Gooding Street, La Salle, IL 61301 Phone: 815-224-4522 Fax: 815-223-8055 | |
Lauren Elizabeth Holt, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 2428 Chartres St, La Salle, IL 61301 Phone: 309-830-1096 | |
Ms. Patricia Alina Pelaez, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Bucklin St Ste 1, La Salle, IL 61301 Phone: 815-780-0690 Fax: 815-410-1937 | |
Ms. Shelly D Punke, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2960 Chartres St, La Salle, IL 61301 Phone: 815-224-1610 Fax: 815-223-1634 |