Provider Demographics
NPI:1437691789
Name:GOUDEAU, RICHARD JR (MA, LMFT-S, LPC-S)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:
Last Name:GOUDEAU
Suffix:JR
Gender:M
Credentials:MA, LMFT-S, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1905 BORDEAUX CT
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-2672
Mailing Address - Country:US
Mailing Address - Phone:469-422-4033
Mailing Address - Fax:
Practice Address - Street 1:1905 BORDEAUX CT
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-2672
Practice Address - Country:US
Practice Address - Phone:469-422-4033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-16
Last Update Date:2021-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70224101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional