Doctor Name: | MS. ANN M GOEDKEN |
NPI Number: | 1003081084 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LCSW,LPC |
License Number: | 201-125 |
Business Practice Address: | 747b Crawford Dr Cottage Grove, WI - 535279671 |
Business Phone Number: | 6088391979 |
Business Fax Number: | |
Mailing Address: | 747b Crawford Dr, COTTAGE GROVE |
State: | WI |
Postal Code: | 535279671 |
Phone Number: | 6088391979 |
Fax Number: | |
NPI Enumeration Date: | 04/29/2008 |
NPI Last Update Date: | 04/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 201-125 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |