Individual
TINA LOUISE GODSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
483 W SEED FARM RD, SACATON, AZ 85147-5000
(520) 562-1200
Mailing address
PO BOX 38, SACATON, AZ 85147-0001
(520) 562-1200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-16702
AZ
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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