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Individual
RANDALL R GODWIN
Active
Individual
RANDALL R GODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., LIAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LIAC-11869
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-11869
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204317
—
AZ
Enumeration date
09/24/2009
Last updated
06/11/2026
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