Individual
RANDALL R GODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., LIAC
Contact information
Practice address
20 E THOMAS RD STE 2200, PHOENIX, AZ 85012-3133
(844) 843-7279
Mailing address
702 E CHANDLER BLVD, CHANDLER, AZ 85225-9456
(623) 499-8917
(602) 926-8363
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LIAC-11869
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-11869
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204317
—
AZ
Enumeration date
09/24/2009
Last updated
02/10/2026
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