Individual
SUSAN GODDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 US HIGHWAY 95A S, SUITE 702G, FERNLEY, NV 89408-9261
(775) 575-2284
Mailing address
308 EDGEBROOK DR, SPRING CREEK, NV 89815-5709
(775) 401-1439
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NV
Other
Enumeration date
02/03/2017
Last updated
02/03/2017
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