Individual
BETHANY GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1615 POLO RD, WINSTON SALEM, NC 27106-3831
(336) 722-7266
(336) 201-0538
Mailing address
1615 POLO RD, WINSTON SALEM, NC 27106-3831
(336) 722-7266
(336) 201-0538
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10564
NC
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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