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Individual
LISA MARIE GODOY
Active
Individual
LISA MARIE GODOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-CAS CS12540919
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CS12540919
CA
171M00000X
Case Manager/Care Coordinator
Primary
CS12540919
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
333901
—
CA
05
—
333903
—
CA
Enumeration date
09/01/2011
Last updated
05/21/2024
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