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NPI 1922112770

NPI 1922112770 : ROBERT JOHN GOOD LPC : CLIMAX SPRINGS, MO

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General NPI Number Information
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    NPI Number           |    1922112770
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    Entity Type          |    Individual 
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    Provider Name        |    ROBERT JOHN GOOD LPC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/18/2006
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    Last Update Date     |    09/26/2025
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Provider Practice Location Address
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    Address Line         |    428 UNION DR 
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    City                 |    CLIMAX SPRINGS
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    State                |    MO
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    Zip                  |    65324-2237
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    Country              |    US
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    Telephone            |    972-943-0400
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    Fax                  |    972-943-0500
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Provider Business Mailing Address
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    Address Line         |    428 UNION DR 
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    City                 |    CLIMAX SPRINGS
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    State                |    MO
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    Zip                  |    65324-2237
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    Country              |    US
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    Telephone            |    972-943-0400
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    Fax                  |    972-943-0500
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    2023050846
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    License Number State |    MO
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