Individual
AMANDA LOUSIE GODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
4925 PACKARD ST, ANN ARBOR, MI 48108-1521
(734) 971-9781
(734) 971-2730
Mailing address
4925 PACKARD ST, ANN ARBOR, MI 48108-1521
(734) 971-9781
(734) 971-2730
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6851120343
MI
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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