Provider Demographics
NPI:1518301738
Name:GOOD, DANA GUTSHALL (LPC)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:GUTSHALL
Last Name:GOOD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 E ELIZABETH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22802-4159
Mailing Address - Country:US
Mailing Address - Phone:540-801-0885
Mailing Address - Fax:
Practice Address - Street 1:250 E ELIZABETH ST STE 102
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22802-4159
Practice Address - Country:US
Practice Address - Phone:540-801-0885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-18
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005356101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional