Individual
TRUDY A. GODAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, CADC
Contact information
Practice address
131 NW HAWTHORNE AVE, SUITE 108, BEND, OR 97701-2929
(541) 977-4023
Mailing address
131 NW HAWTHORNE AVE, SUITE 108, BEND, OR 97701-2929
(541) 977-4023
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1838
OR
Other
Enumeration date
12/08/2009
Last updated
07/13/2010
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