Goodison, Jennifer Marie

Goodison, Jennifer Marie is an individual health care provider with primary practice located at 31 Thurber Dr , Waterloo NY 13165-1600. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Goodison, Jennifer Marie can be contacted via phone (315) 539-1985.

Contact Information

Primary practice address
31 Thurber Dr Waterloo NY 13165-1600
Phone: (315) 539-1985
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1134317324
LBN Legal business name Goodison, Jennifer Marie
Credentials CTRS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2007
Last updated Oct 12th, 2007 - about 17 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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