Provider Demographics
NPI:1437672045
Name:GOOD, AARON LIEBERMAN
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:LIEBERMAN
Last Name:GOOD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 3RD AVE UNIT 792
Mailing Address - Street 2:
Mailing Address - City:MOSIER
Mailing Address - State:OR
Mailing Address - Zip Code:97040-0810
Mailing Address - Country:US
Mailing Address - Phone:503-997-1886
Mailing Address - Fax:
Practice Address - Street 1:1001 3RD AVE UNIT 792
Practice Address - Street 2:
Practice Address - City:MOSIER
Practice Address - State:OR
Practice Address - Zip Code:97040-0810
Practice Address - Country:US
Practice Address - Phone:503-997-1886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-25
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health