Individual
MS. SUZANNE GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, NCC
Contact information
Practice address
98 POPLAR ST, THIRD FLOOR, BLACKFOOT, ID 83221-1758
(208) 785-3800
(208) 785-3876
Mailing address
98 POPLAR ST, THIRD FLOOR, BLACKFOOT, ID 83221-1758
(208) 785-3800
(208) 785-3876
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LCPC-5170
ID
Other
Enumeration date
12/09/2016
Last updated
12/09/2016
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