Individual
ATHENA GODOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8064 3RD ST, PARAMOUNT, CA 90723-3405
(562) 712-8790
Mailing address
8064 3RD ST, PARAMOUNT, CA 90723-3405
(562) 712-8790
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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