Individual
ANDREA GODINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2222 BANCROFT WAY SPC 4300, BERKELEY, CA 94720-4300
(510) 643-2904
Mailing address
2157 W CERMAK RD, CHICAGO, IL 60608-4005
(312) 774-4135
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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