Individual
ANTONI GODBOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDRC
Contact information
Practice address
737 E GRAND AVE, ESCONDIDO, CA 92025-4404
(760) 745-8478
Mailing address
737 E GRAND AVE, ESCONDIDO, CA 92025-4404
(760) 745-8478
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1902808744
CA
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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