Individual
ANTONIO GODOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RADT-I
Contact information
Practice address
4 7TH ST # B, EUREKA, CA 95501-0226
(707) 601-2969
(707) 798-1321
Mailing address
613 1/2 2ND AVE, RIO DELL, CA 95562-8507
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R14852100922
CA
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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