Goodson, Kristy Diane

Goodson, Kristy Diane is an sole proprietor health care provider with primary practice located at 1675 Curlew Dr , Ammon ID 83406-4718. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Goodson, Kristy Diane can be contacted via phone (208) 523-5319.

Contact Information

Primary practice address
1675 Curlew Dr Ammon ID 83406-4718
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-38393 Idaho

Profile Details

NPI number 1194156216
LBN Legal business name Goodson, Kristy Diane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2013
Last updated Aug 2nd, 2023 - 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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