Individual
NICOLE ANNE GODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, ADC, QSAP I
Contact information
Practice address
3542 MONTGOMERY HWY, DOTHAN, AL 36303-2165
(334) 585-5331
(334) 712-2673
Mailing address
3542 MONTGOMERY HWY, DOTHAN, AL 36303-2165
(334) 585-5331
(334) 712-2673
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC05296
AL
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC05296
AL
101YM0800X
Mental Health Counselor
LPC05296
AL
101YP2500X
Professional Counselor
Primary
LPC05296
AL
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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