| Destiny Rose Goodson, CSAC SUPERVISEE | |
|
1520 Slate Creek Rd Ste 201, Grundy, VA 24614-6975 | |
| (276) 242-2001 | |
| Not Available |
| Full Name | Destiny Rose Goodson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1520 Slate Creek Rd Ste 201, Grundy, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295438984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0709025109 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Destiny Rose Goodson, CSAC SUPERVISEE 1520 Slate Creek Rd Ste 201, Grundy, VA 24614-6975 Ph: (276) 242-2001 | Destiny Rose Goodson, CSAC SUPERVISEE 1520 Slate Creek Rd Ste 201, Grundy, VA 24614-6975 Ph: (276) 242-2001 |
Justin C Blackburn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1520 Slate Creek Rd Ste 201, Grundy, VA 24614 Phone: 276-242-2001 Fax: 276-312-8337 | |
Mrs. Susan Buskill Fogg, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19873 Riverside Drive, Grundy, VA 24614 Phone: 276-210-4618 | |
Robert Auville, M.ED., CSAC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19873 Riverside Drive, Grundy, VA 24614 Phone: 276-244-1380 |