Elizabeth Anne Goodale I, M.ED, LMHC

Individual provider Active NPI Mental Health Counselor · Ware, MA

NPI 1962667394 · NPPES record last updated Dec 3, 2013

Key facts

NPI
1962667394
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
96 South St
Ware, MA 01082-1616
Phone
(413) 454-8614
NPI assigned
Jul 24, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Education

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

96 South St
Ware, MA 01082-1616

Mailing address

96 South St
Ware, MA 01082-1616
Phone (413) 454-8614

Other providers in Ware, MA

All providers in Ware, MA · Mental Health Counselor in Massachusetts

Sources for this page

Verify at the official NPI Registry.