Individual provider · Type 1 NPI
Tyera Nicole Godfrey
Mental Health Counselor · Malden, MA
NPI number
1871083246
Active
Practice location
12 Perkins Ave
Malden, MA 02148-7502
Mailing address
11 Bay State Ave
Tewksbury, MA 01876-3305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1871083246
Tyera Nicole Godfrey's National Provider Identifier is 1871083246, issued on May 11, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Malden, MA. The record was last updated on Jun 16, 2018.