Goodwin, Russell J

Goodwin, Russell J is an individual health care provider with primary practice located at 23240 Chagrin Blvd. Suite 500, Beachwood OH 44122-5404. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Goodwin, Russell J can be contacted via phone (216) 292-6007.

Contact Information

Primary practice address
23240 Chagrin Blvd. Suite 500 Beachwood OH 44122-5404
Phone: (216) 292-6007
Fax: (216) 292-7352
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 83884 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X C005220 Ohio

Profile Details

NPI number 1972613271
LBN Legal business name Goodwin, Russell J
Credentials LPC, LICDC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 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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