Individual provider · Type 1 NPI

Miranda Goddard

Addiction (Substance Use Disorder) Counselor · Leavenworth, KS

NPI number 1053063669 Active

Practice location

500 Limit St
Leavenworth, KS 66048-4435

Call (913) 682-5118 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1053063669

Miranda Goddard's National Provider Identifier is 1053063669, issued on Jan 25, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Leavenworth, KS. The record was last updated on Jan 25, 2022.