Individual
KATELYN RAE GODLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
1309 TATUM DR, NEW BERN, NC 28560-4314
(252) 672-8742
(252) 638-3742
Mailing address
4300 SAPPHIRE CT STE 110, GREENVILLE, NC 27834-9079
(252) 830-7540
(252) 752-0074
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3403-A
NC
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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