Provider / Organization | NPI | Date Certified |
---|---|---|
JENNIFER CHERIE GOODLOW | 1972254449 | 2022-01-15 |
Jennifer Cherie Goodlow is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1972254449. Registration indicates Jennifer Cherie Goodlow is a provider of services with a specialization in Behavioral Health & Social Service Providers, Marriage & Family Therapist (Marriage & Family Therapist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Marriage & Family Therapist, Behavioral Health & Social Service Providers)
Entity Type | Individual |
Provider Name | Jennifer Cherie Goodlow |
Practice Office Address | 3610 CENTRAL AVE STE 500 RIVERSIDE, CA US |
Practice Office Telephone | 4423279311 |
Mailing Address | 7744 SILVER BUCKLE RD HIGHLAND, CA 923465819 US |
Business Telephone | 9095560368 |
Code | Practice | License No State |
---|---|---|
106H00000X PRIMARY | Behavioral Health & Social Service Providers Marriage & Family Therapist Marriage & Family Therapist Behavioral Health/Substance Abuse/Psychiatry Marriage & Family Therapist Behavioral Health & Social Service Providers | 129664
CA |