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Randall R Godwin, MED,LISAC
Addiction (Substance Use Disorder) Counselor in Phoenix, Arizona
NPI 1205160108

Randall R Godwin is an Addiction (Substance Use Disorder) Counselor based in Show Low, AZ and is specialized in Addiction (Substance Use Disorder). Randall R Godwin practices in Phoenix, AZ and has the professional credentials of MED,LISAC. The NPI Number for Randall R Godwin is 1205160108 and holds a License No. LISAC-11869 (Arizona).

The current practice location address for Randall R Godwin is 20 E Thomas Rd Ste 2200, Phoenix, AZ and can be reached out via phone at 844-843-7279.

Location: 20 E Thomas Rd Ste 2200, Phoenix, AZ, 85901
person
Provider Profile Details
NPI Number
1205160108
Provider Name
Randall R Godwin
Credential
MED,LISAC
Provider Entity Type
Individual
Gender
Male
Address
20 E Thomas Rd Ste 2200, Phoenix, AZ, 85901
Phone Number
844-843-7279
Fax Number
Provider Enumeration Date
09/24/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
20 E Thomas Rd Ste 2200
City
State
Zip
85012-3133
Phone Number
844-843-7279
Fax Number
person
Provider Business Mailing Address Details
Address
20 E Thomas Rd Ste 2200
City
State
Zip
85012-3133
Phone Number
844-843-7279
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LISAC-11869 (Arizona)
Definition
Definition to come...
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