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NPI Code Detail

MEDICARE: SHARON M GOODRICH CDCA

MEDICARE: SHARON M GOODRICH CDCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator
2101YA0400XAddiction (Substance Use Disorder) Counselor102062OH

General Provider Information

NPI Number : 1285352849
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON M GOODRICH CDCA
Provider Business Mailing Address
First Line : 1601 S MAIN ST
Second Line :
City : AKRON
State : OH
Zip : 44301-1664
Country : US
Telephone Number : 330-644-4095
Fax Number :
Provider Business Practice Location Address
First Line : 1601 S MAIN ST
Second Line :
City : AKRON
State : OH
Zip : 44301-1664
Country : US
Telephone Number : 330-644-4095
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2022
Last Update Date : 12/10/2025

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Directions to “ SHARON M GOODRICH CDCA” Practice Location

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