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Organization
MICHAEL-RENEE GODFREY, RN, LPC, PC
Active
Organization
MICHAEL-RENEE GODFREY, RN, LPC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHAEL-RENEE GODFREY RN, LPC, DCC (CEO)
(678) 401-8106
Entity
Organization
Contact information
Practice address
2453 POWDER SPRINGS RD SW, SUITE 320, MARIETTA, GA 30064-4570
(678) 401-8106
(678) 398-9065
Mailing address
2453 POWDER SPRINGS RD SW, SUITE 320, MARIETTA, GA 30064-4570
(678) 401-8106
(678) 398-9065
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6036
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
498827642B
—
GA
Enumeration date
01/25/2013
Last updated
01/25/2013
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