| Doctor Name: | MS. ELIZABETH DIANE GOODWIN |
| NPI Number: | 1558550103 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCC |
| License Number: | 1674 |
| Business Practice Address: | 104 1/2 N Marietta St St Clairsville, OH - 439501218 |
| Business Phone Number: | 7406985441 |
| Business Fax Number: | 7406956747 |
| Mailing Address: | 104 1/2 N Marietta St, ST CLAIRSVILLE |
| State: | OH |
| Postal Code: | 439501218 |
| Phone Number: | 7406985441 |
| Fax Number: | 7406956747 |
| NPI Enumeration Date: | 10/19/2007 |
| NPI Last Update Date: | 10/19/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 1674 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |