Gooden, Cedrick D

Gooden, Cedrick D is an individual health care provider with primary practice located at 601 Cleveland Ave Nw , Canton OH 44702-1836. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Prevention Professional. Other Service Providers / Prevention Professional is his primary health care specialty. Gooden, Cedrick D can be contacted via phone (330) 455-0374.

Contact Information

Primary practice address
601 Cleveland Ave Nw Canton OH 44702-1836
Phone: (330) 455-0374
Fax: (330) 453-6716
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDCIII161791 Ohio
Other Service Providers / Prevention Professional 405300000X OCPS4486 Ohio

Profile Details

NPI number 1841562949
LBN Legal business name Gooden, Cedrick D
Credentials LCDCIII, OCPS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2012
Last updated Dec 28th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841562949 NPPES
Ohio MEDICAID 0273389

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