Individual
NICOLE GODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
79 N CLINTON AVE, ROCHESTER, NY 14604-1407
(585) 546-3046
Mailing address
79 N CLINTON AVE, ROCHESTER, NY 14604-1407
(585) 546-3046
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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