MR. Clarence Wilfred Goddard, MA LADAC
NPI #1215644141 in Espanola, New Mexico
Provider Information
- NPI Number
- 1215644141
- Entity Type
- Individual
- Name
- MR. Clarence Wilfred Goddard, MA LADAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- MA LADAC
- Enumeration Date
- Oct 31, 2022
- Last Updated
- Oct 31, 2022
Practice Location
- Address
- 807 CALLE CHAMISAL
- City
- Espanola
- State
- New Mexico
- ZIP Code
- 87532-2976
- Phone
- (505) 372-4511
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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