Individual provider · Type 1 NPI

Clarence Wilfred Goddard, MA LADAC

Addiction (Substance Use Disorder) Counselor · Espanola, NM

NPI number 1215644141 Active

Practice location

807 Calle Chamisal
Espanola, NM 87532-2976

Call (505) 372-4511 Map

Mailing address

PO Box 1775
Espanola, NM 87532-1775

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCAD0210951 (NM)

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

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About NPI 1215644141

Clarence Wilfred Goddard, MA LADAC's National Provider Identifier is 1215644141, issued on Oct 31, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Espanola, NM. The record was last updated on Oct 31, 2022.