Goodrich, Rochelle Marie

Goodrich, Rochelle Marie is an individual health care provider with primary practice located at Fond Du Lac Human Services Division 927 Trettel Lane, Cloquet MN 55720. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Goodrich, Rochelle Marie can be contacted via phone (218) 879-1227.

Contact Information

Primary practice address
Fond Du Lac Human Services Division 927 Trettel Lane Cloquet MN 55720
Phone: (218) 879-1227
Fax: (218) 878-2188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 22104 Minnesota
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 301771 Minnesota

Profile Details

NPI number 1124170840
LBN Legal business name Goodrich, Rochelle Marie
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jun 30th, 2017 - about 7 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 1124170840 NPPES
Minnesota Other NPPOO FDLHSD MEDICARE
Minnesota Other 666815100 FDLHSD MEDICARE

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