Doctor Name: | MRS. SUZANNE GOEN |
NPI Number: | 1275864407 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 63811 |
Business Practice Address: | 1007 W Highway 190 Ste B Copperas Cove, TX - 765223886 |
Business Phone Number: | 2545427200 |
Business Fax Number: | |
Mailing Address: | 2691 County Road 1020, LAMPASAS |
State: | TX |
Postal Code: | 765503487 |
Phone Number: | 5125251151 |
Fax Number: | |
NPI Enumeration Date: | 01/28/2010 |
NPI Last Update Date: | 01/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 63811 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |