Most Relevant Information
Provider Data
| NPI Number: | 1003546185 |
| Provider Name: | AMANDA LEE GOODMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/13/2022 |
| Last Updated: | 06/13/2022 |
Provider Practice Location
518 CUTLER ST
ALLEGAN
MI
490101214
Practice Location Phone/Fax
| Phone: | 2698700246 |
| Fax: |
Provider Mailing Location
3285 122ND AVE
ALLEGAN
MI
490109511
Provider Mailing Phone/Fax
| Phone: | 2698700246 |
| Fax: |