Individual
ELIZABETH ANNE GODTHAAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1316 FREDERICA ST, OWENSBORO, KY 42301-4801
(270) 686-7999
(270) 686-8092
Mailing address
1316 FREDERICA ST, OWENSBORO, KY 42301-4801
(270) 686-7999
(270) 686-8092
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
9373
KY
101YP2500X
Professional Counselor
Primary
275992
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9373
—
KY
Enumeration date
02/05/2018
Last updated
03/02/2022
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