Provider / Organization | NPI | Date Certified |
---|---|---|
MARIA GOUDAS | 1083749808 | 2024-11-08 |
Maria Goudas is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1083749808. Registration indicates Maria Goudas is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
Entity Type | Individual |
Provider Name | Mrs. Maria Goudas MA LPCCS |
Practice Office Address | 12557 RAVENWOOD DR RAVENWOOD MENTAL HEALTH CENTER CHARDON, OH US |
Practice Office Telephone | 4402853568 |
Mailing Address | 12557 RAVENWOOD DR CHARDON, OH 440249009 US |
Business Telephone | 4402853568 |
Code | Practice | License No State |
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101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | E.0002590-SUPV
OH |