Most Relevant Information
Provider Data
| NPI Number: | 1003527664 |
| Provider Name: | BRENDA GOODRICH |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/05/2022 |
| Last Updated: | 11/07/2023 |
Provider Practice Location
928 BROADWAY
SAN DIEGO
CA
921015514
Practice Location Phone/Fax
| Phone: | 6199773716 |
| Fax: |
Provider Mailing Location
6844 QUEBEC CT UNIT 1
SAN DIEGO
CA
921392730
Provider Mailing Phone/Fax
| Phone: | 6197390898 |
| Fax: |