Goodman, Jonathan Clarke

Goodman, Jonathan Clarke is an sole proprietor health care provider with primary practice located at 1002 39Th Ave Sw Ste 208 , Puyallup WA 98373-3805. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Goodman, Jonathan Clarke can be contacted via phone (253) 234-5464.

Contact Information

Primary practice address
1002 39Th Ave Sw Ste 208 Puyallup WA 98373-3805
Phone: (253) 234-5464
Fax: (253) 317-2787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH60796049 Washington
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1205212545
LBN Legal business name Goodman, Jonathan Clarke
Credentials LMHC, MHP, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2015
Last updated Oct 7th, 2022 - about 2 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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