Wallace Goodman
Wallace Goodman is an Addiction (Substance Use Disorder) Counselor in Hayti, Missouri. Licensed in Missouri. Registered with an NPI since 2013.
- Licensed in
- MO
- In the registry since
- 2013
Practice location Address checks out
501 Highway J NHayti, MO 63851
Phone: (573) 359-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 2011024580 (MO) |
|---|
Record details
| NPI number | 1427488055 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 18, 2013 |
| Last updated in NPPES | November 18, 2013 |
| Mailing address | 2009 Southwind Cv, Dyersburg, TN 38024-8875 |
Other providers in Hayti
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Tammy Lynn Barnes
500 Highway J, Hayti, MO 63851-1200 · (573) 359-2600
-
MS. Deborah June Faulkner, RASACII
Hwy J North Hayti, Hayti, MO 63851 · (573) 359-2600
-
Debra Hampton, CRADC
500 US Hwy 61 N, Hayti, MO 63851 · (573) 359-0955
-
Larry Hampton, CSAC
500 Hwy J N, Hayti, MO 63851 · (573) 359-2600
-
Jonathan Harless, RASAC
500 Hwy J N, Hayti, MO 63851 · (573) 359-2600
-
Mr. Derek Luther Jackson, BS
581 Highway J N, Hayti, MO 63851 · (573) 359-2600