Goodenberger, Susan Jarrett

Goodenberger, Susan Jarrett is an individual health care provider with primary practice located at 2808 Fox Chase Ln , Midlothian VA 23112-4008. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Goodenberger, Susan Jarrett can be contacted via phone (804) 977-0656.

Contact Information

Primary practice address
2808 Fox Chase Ln Midlothian VA 23112-4008
Phone: (804) 977-0656
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 51113 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT.0001044 Colorado
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0717002031 Virginia

Profile Details

NPI number 1831375633
LBN Legal business name Goodenberger, Susan Jarrett
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2008
Last updated Nov 14th, 2023 - about 3 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 1831375633 NPPES
Colorado Other 026490 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 56123353 KAISER COMMERCIAL NUMBER

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