Most Relevant Information
Provider Data
| NPI Number: | 1003648783 |
| Provider Name: | KRISTIN GAYLE GOIN LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | LPC014973 |
Most Important Dates
| Enumeration Date: | 08/20/2024 |
| Last Updated: | 08/23/2024 |
Provider Practice Location
3120 N OAK STREET EXT STE B
VALDOSTA
GA
316025910
Practice Location Phone/Fax
| Phone: | 2296716170 |
| Fax: |
Provider Mailing Location
3120 N OAK STREET EXT STE C
VALDOSTA
GA
316025910
Provider Mailing Phone/Fax
| Phone: | 2296716170 |
| Fax: |