person
Mr. Thomas Milton Godwin, LCPC,LCADC,CCDC
Mental Health Counselor in Severna Park, Maryland
NPI 1629014428

Thomas Milton Godwin is a Mental Health Counselor based in Arnold, MD and is specialized in Mental Health. Thomas Milton Godwin practices in Severna Park, MD and has the professional credentials of LCPC,LCADC,CCDC. The NPI Number for Thomas Milton Godwin is 1629014428 and holds a License No. LCA169 (Maryland).

The current practice location address for Thomas Milton Godwin is 650 Ritchie Hwy, Severna Park, MD and can be reached out via phone at 410-315-9350 and via fax at 410-315-9353.

Location: 650 Ritchie Hwy, Severna Park, MD, 21012-1731
person
Provider Profile Details
NPI Number
1629014428
Provider Name
Thomas Milton Godwin
Credential
LCPC,LCADC,CCDC
Provider Entity Type
Individual
Gender
Male
Address
650 Ritchie Hwy, Severna Park, MD, 21012-1731
Phone Number
410-315-9350
Fax Number
410-315-9353
Provider Enumeration Date
06/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
650 Ritchie Hwy
City
State
Zip
21146-3916
Phone Number
410-315-9350
Fax Number
410-315-9353
person
Provider Business Mailing Address Details
Address
650 Ritchie Hwy
City
State
Zip
21146-3916
Phone Number
410-315-9350
Fax Number
410-315-9353
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LCO296 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LCA169 (Maryland)
Definition
Definition to come...
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